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Individual
MR. MARC D RADABAUGH
Active
Individual
MR. MARC D RADABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11019421A
IN
207Q00000X
Family Medicine Physician
Primary
2021034961
MO
207R00000X
Internal Medicine Physician
11019421A
IN
207R00000X
Internal Medicine Physician
2021034961
MO
Other
Enumeration date
04/03/2017
Last updated
08/30/2021
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