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Individual
ANDREA G MARSH
Active
Individual
ANDREA G MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23151
NE
208M00000X
Hospitalist Physician
Primary
23151
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891887618
—
IA
05
—
47068731716
—
NE
01
—
92803
WELLMARK BCBSIA
IA
Enumeration date
09/29/2006
Last updated
08/02/2017
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