Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 53934 | WI |
N | 207PE0004X | Emergency Medical Services | 53934 | WI |
NPI | 1114182045 |
---|---|
Provider Name | Dr. Gabriel L Marsh |
First Address | La Crosse, WI 54601-5429 |
Second Address | La Crosse, WI 54601-5429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2008 |
Last Update Date | 22/06/2017 |