# MARC C MENTEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376574871
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10584 | MT | Yes |
| 2084P0800X | Psychiatry Physician | 10584 | MT | — |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 05/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0079186 | — | MT |