Marso, Andrew J

Marso, Andrew J is an individual health care provider with primary practice located at 6130 S 108Th Street , Hales Corners WI 53130-2525. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Marso, Andrew J can be contacted via phone (414) 425-8400.

Contact Information

Primary practice address
6130 S 108Th Street Hales Corners WI 53130-2525
Phone: (414) 425-8400
Fax: (414) 425-8425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 896-025 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 896-025 Wisconsin

Profile Details

NPI number 1699753848
LBN Legal business name Marso, Andrew J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Apr 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699753848 NPPES
Wisconsin Other P00717384 RAIL ROAD MEDICARE GROUP MEMBER PTAN #
Wisconsin MEDICAID 43239300 RAIL ROAD MEDICARE GROUP MEMBER PTAN #

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