Individual
JOHN J MARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 PHALEN BLVD, MAIL STOP 41102D, ST PAUL, MN 55101-5302
(651) 254-7670
(651) 254-7676
Mailing address
401 PHALEN BLVD, MS 41102D, SAINT PAUL, MN 55130-5302
(651) 254-7670
(651) 254-7676
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
32413
MN
207RP1001X
Pulmonary Disease Physician
32413
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
721392100
—
MN
Enumeration date
02/15/2006
Last updated
08/25/2015
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