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Individual
MARILYN WENDT HORACEK
Active
Individual
MARILYN WENDT HORACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1551
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055267000
—
WV
01
—
080121554
RAILROAD MEDICARE
—
05
—
2057536
—
OH
Enumeration date
07/24/2006
Last updated
12/09/2014
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