Maryniak, Thomas D

Maryniak, Thomas D is an individual health care provider with primary practice located at 1670 South Blvd , Baraboo WI 53913-2937. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Maryniak, Thomas D can be contacted via phone (608) 356-9318.

Contact Information

Primary practice address
1670 South Blvd Baraboo WI 53913-2937
Phone: (608) 356-9318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004408 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107786 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA031016 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017987 New York

Profile Details

NPI number 1780933267
LBN Legal business name Maryniak, Thomas D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2012
Last updated Apr 19th, 2022 - about 2 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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