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Individual
MS. MARNIE VANSTRUM
Active
Individual
MS. MARNIE VANSTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME100572
FL
207R00000X
Internal Medicine Physician
ME100572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281205300
—
FL
01
—
ME100572
FL STATE LICENSE
FL
Enumeration date
01/28/2008
Last updated
01/30/2019
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