Individual
THOMAS D MARYNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1670 SOUTH BLVD, BARABOO, WI 53913-2937
(608) 356-9318
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
017987
NY
363A00000X
Physician Assistant
085004408
IL
363A00000X
Physician Assistant
PA9107786
FL
363AM0700X
Medical Physician Assistant
PA031016
DC
Other
Enumeration date
08/30/2012
Last updated
04/19/2022
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