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Individual

DR. SUSAN ADAMS MARIK

Active
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Individual

DR. SUSAN ADAMS MARIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21575
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
83792
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195790
MEDCOST
SC
01
—
4512373
AETNA
SC
05
—
8906392
—
NC
01
—
P00041395
RAILROAD MEDICARE
SC
05
—
T57872
—
SC
Enumeration date
01/23/2006
Last updated
08/06/2020
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