Individual
PETER MARINAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, M.AC, L.AC.
Contact information
Practice address
645 RIDGELY AVE, ANNAPOLIS, MD 21401-1069
(410) 266-9370
Mailing address
2966 EDGEWATER DR, EDGEWATER, MD 21037-1306
(410) 266-9370
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U-00190
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341991177
TAX ID
MD
01
—
U-00190
LICENSE NUMBER
MD
Enumeration date
01/24/2011
Last updated
01/24/2011
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