Individual
R ANTHONY MARRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W COLUMBIA ST, SUITE 230, EVANSVILLE, IN 47710
(812) 424-3321
(812) 424-3328
Mailing address
350 W COLUMBIA ST, SUITE 230, EVANSVILLE, IN 47710
(812) 424-3321
(812) 424-3328
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01024696
IN
207X00000X
Orthopaedic Surgery Physician
111766
MO
207X00000X
Orthopaedic Surgery Physician
ME13714
FL
207X00000X
Orthopaedic Surgery Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164366043
IPA
IL
05
—
0164366043
—
IL
01
—
06022530
BCBS
IL
01
—
211805
MEDICARE
IL
Enumeration date
10/05/2006
Last updated
03/04/2008
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