Provider Demographics
NPI:1790370302
Name:MARCHIO, ANTHONY FRANK JR (PA-C)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:FRANK
Last Name:MARCHIO
Suffix:JR
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:710 COMMERCE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4925
Mailing Address - Country:US
Mailing Address - Phone:651-968-5200
Mailing Address - Fax:651-968-5904
Practice Address - Street 1:2090 WOODWINDS DR STE 200
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2522
Practice Address - Country:US
Practice Address - Phone:651-968-5201
Practice Address - Fax:651-968-5899
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
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Provider Licenses
StateLicense IDTaxonomies
MN13631363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant