MARYSSA PODERZAY

SAINT PAUL, MN
NPI1184203523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MN  75104)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-05
Last Update Date2025-06-19
Business Address
MARYSSA PODERZAY MD
640 JACKSON ST
SAINT PAUL, MN 55101-2595
Phone number: 651-254-3456
Mailing Address
MARYSSA PODERZAY MD
640 JACKSON ST
SAINT PAUL, MN 55101-2502
Phone number: