Individual
MARIE JANE GORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3331 W DEYOUNG ST STE 305, MARION, IL 62959
(618) 998-7155
(618) 998-7285
Mailing address
PO BOX 5009, BRENTWOOD, TN 37024-5009
(615) 221-1400
(931) 388-5154
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036095265
IL
208600000X
Surgery Physician
Primary
33917
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053440
MEDICARE RR
—
05
—
3853897
—
TN
Enumeration date
10/25/2006
Last updated
01/08/2019
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