Doctor Name: | MARJORIE EMERY KIRSCH |
NPI Number: | 1194759936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME0051563 |
Business Practice Address: | 2965 Municipal Way Tallahassee, FL - 32304 |
Business Phone Number: | 8506068150 |
Business Fax Number: | 8504877954 |
Mailing Address: | Po Box 2745, TALLAHASSEE |
State: | FL |
Postal Code: | 323162745 |
Phone Number: | 8506068150 |
Fax Number: | 8504877954 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 02/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0051563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |