# DR. MARSHALL CLAUDE WAREHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114925112
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-05-0634-W | OH | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 03/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000189353 | ANTHEM BC/BS | OH |
| 05 | — | 0770134 | — | OH |
| 01 | — | 180011133 | RAILROAD MEDICARE | OH |
| 01 | — | 22364 | COLE VISION | OH |
| 01 | — | 311026469027 | CARESOURCE | OH |