Individual provider · Type 1 NPI

Andrew Victor Marinich

Surgical Physician Assistant · Baltimore, MD

NPI number 1407554066 Active

Practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Mailing address

507 N 17th Street
Milwaukee, WI 53233

Other practice locations

  • 507 N 17th Street, Milwaukee, WI 53233 · (414) 288-5688

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XC09018 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1407554066

Andrew Victor Marinich's National Provider Identifier is 1407554066, issued on Feb 22, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baltimore, MD. The record was last updated on Aug 16, 2023.