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Individual
DR. MARTA M VANSTRATEN
Active
Individual
DR. MARTA M VANSTRATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.143928
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP1006276
TX
208D00000X
General Practice Physician
5101018708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036143928
—
IL
01
—
F400444560
MEDICARE PTAN
IL
Enumeration date
06/30/2010
Last updated
09/05/2018
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