Individual
MARK RICHARD MARSHIK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 1008, BATON ROUGE, LA 70808-4300
(225) 766-0416
(225) 769-9212
Mailing address
6126 SHAKESPEARE DR, BATON ROUGE, LA 70817-2919
(225) 752-9606
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
A10046
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1345857
—
LA
Enumeration date
04/14/2006
Last updated
07/09/2007
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