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Individual

DR. THOMAS ROBERT MARCINIAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
7049 W PINEBERRY RDG, FRANKLIN, WI 53132-8565
(414) 427-1999
(414) 427-1999
Mailing address
7049 W PINEBERRY RDG, FRANKLIN, WI 53132-8565
(414) 427-1999
(414) 427-1999

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
461-25
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2719090001
DMERC
05
43217100
WI
01
480013588
RAILROAD MEDICARE ID #
Enumeration date
06/13/2006
Last updated
06/23/2014
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