Provider Demographics
NPI:1699301549
Name:KIRSCH, MARSHALL (DO)
Entity type:Individual
Prefix:
First Name:MARSHALL
Middle Name:
Last Name:KIRSCH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 US HIGHWAY 61 STE 120
Mailing Address - Street 2:
Mailing Address - City:FESTUS
Mailing Address - State:MO
Mailing Address - Zip Code:63028-4141
Mailing Address - Country:US
Mailing Address - Phone:636-933-8270
Mailing Address - Fax:636-933-1233
Practice Address - Street 1:1400 US HIGHWAY 61 STE 120
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4141
Practice Address - Country:US
Practice Address - Phone:636-933-8270
Practice Address - Fax:636-933-1233
Is Sole Proprietor?:No
Enumeration Date:2020-03-22
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20250143172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology