Individual
MR. ALEX ANTHONY MARCINIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15196-24
WI
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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