Individual
JOAN GRODE MARSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9113
(337) 261-2697
Mailing address
4600 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6902
(337) 521-9113
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
06781R
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
06781R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358843
—
LA
Enumeration date
08/09/2005
Last updated
02/03/2012
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