IndividualActive
Andrew Marinich
NPI 1407554066 · Surgical Physician Assistant · Baltimore, MD
Provider details
- NPI number
- 1407554066
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone: (410) 601-2663
Approximate (ZIP-level) locationGet directions
Mailing address
507 N 17th Street
Milwaukee, WI 53233
Additional practice locations (1)
- 507 N 17th StreetMilwaukee, WI 53233Phone: (414) 288-5688
Registry dates
- Enumerated
- 2023-02-22
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.