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Individual

MARISSA MARTZ

Active
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Individual

MARISSA MARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301504230
MI
2084P0800X
Psychiatry Physician
LP04043
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LP04043
STATE OF RHODE ISLAND DEPARTMENT OF HEALTH
RI
Enumeration date
06/15/2017
Last updated
11/22/2022
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