Individual
MARCUS J GATES
Active
Individual
MARCUS J GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
56552
MN
207T00000X
Neurological Surgery Physician
Primary
82595
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/20/2012
Last updated
03/02/2020
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