| Doctor Name: | MR. MICHAEL GIOVANNI MAREK |
| NPI Number: | 1285004853 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | SP015183 |
| Business Practice Address: | 8 Hattman Dr Coraopolis, PA - 151083728 |
| Business Phone Number: | 4124581331 |
| Business Fax Number: | 4124581733 |
| Mailing Address: | 25 Heckel Rd, Son # 302 MC KEES ROCKS |
| State: | PA |
| Postal Code: | 151361651 |
| Phone Number: | 4127776296 |
| Fax Number: | 4127776154 |
| NPI Enumeration Date: | 09/25/2015 |
| NPI Last Update Date: | 09/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0808X |
| License Number: | SP015183 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |