Individual
MARY ANN MARKIEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1020 29TH ST, SUITE 570A, SACRAMENTO, CA 95816-5125
(916) 733-3792
(916) 733-3805
Mailing address
2290 SACRAMENTO ST, VALLEJO, CA 94590-2929
(707) 643-5785
(707) 643-8190
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA18413
CA
363AS0400X
Surgical Physician Assistant
Primary
PA18413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA18413
PHYSICIAN ASSISTANT
CA
Enumeration date
11/28/2006
Last updated
03/07/2023
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