Individual
JOHN MARICHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2872 TURNPIKE ST, SUSQUEHANNA, PA 18847-2771
(570) 853-3135
Mailing address
2872 TURNPIKE ST, SUSQUEHANNA, PA 18847-2771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064769
PA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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