# MARVIN LATCHANA MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689853350
- **Authorized official:** MR. BRADLEY ESHBAUGH (SECRETARY)
- **Authorized official phone:** (810) 239-6731

## Contact information

- **Practice address:** G1071 N BALLENGER HWY, SUITE 206, FLINT, MI 48504-4453
- **Practice address phone:** (810) 234-1651
- **Practice address fax:** (810) 234-5959
- **Mailing address:** G1071 N BALLENGER HWY, SUITE 206, FLINT, MI 48504-4453
- **Mailing address phone:** (810) 234-1651
- **Mailing address fax:** (810) 234-5959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301037681 | MI | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007