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Individual

PATRICK JOHN MARSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-4786
(813) 974-3223
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57440
MN
2084P0800X
Psychiatry Physician
ME94255
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278667200
FL
01
78227
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/03/2007
Last updated
01/24/2023
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