Most Relevant Information
Provider Data
| NPI Number: | 1003810961 |
| Provider Name: | MICHAEL MARSHALL |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | MA001071L |
Most Important Dates
| Enumeration Date: | 06/09/2005 |
| Last Updated: | 03/25/2021 |
Provider Practice Location
1005 CAMPUS CIR
HERMITAGE
PA
161487901
Practice Location Phone/Fax
| Phone: | 7243462677 |
| Fax: |
Provider Mailing Location
1005 CAMPUS CIR
HERMITAGE
PA
161487901
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |