Marshal J. Mirviss, M.D.

NPI #1205820958 in Milwaukee, Wisconsin

Provider Information

NPI Number: 1205820958
Entity Type: Individual
Name: Marshal J. Mirviss, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Sep 8, 2005
Last Updated: Nov 5, 2020

Practice Location

Address: 2025 W OKLAHOMA AVE
City: Milwaukee
State: Wisconsin
ZIP Code: 53215-4455
Phone: (414) 389-2790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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