Individual
ANDREW VICTOR MARINICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C09018
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
02/22/2023
Last updated
08/16/2023
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