ANDREW VICTOR MARINICH

BALTIMORE, MD
NPI1407554066
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MD  C09018)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-02-22
Last Update Date2023-08-16
Business Address
ANDREW VICTOR MARINICH
2401 W BELVEDERE AVE
BALTIMORE, MD 21215-5216
Phone number: 410-601-2663
Mailing Address
ANDREW VICTOR MARINICH
507 N 17TH STREET
MILWAUKEE, WI 53233
Phone number: