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Individual

DR. MICHAEL CHARLES MARESKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1333 TAYLOR ST, SUITE 1C, COLUMBIA, SC 29201-2923
(803) 254-6391
(803) 799-0682
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101236270
VA
2084N0400X
Neurology Physician
Primary
31222
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010074207
VA
05
312227
SC
Enumeration date
01/27/2006
Last updated
06/13/2019
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