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Individual

DR. MICHAEL D. MARSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1929 FORT WORTH HWY, WEATHERFORD, TX 76086-4703
(817) 596-3531
(817) 596-8822
Mailing address
1929 FORT WORTH HWY, WEATHERFORD, TX 76086-4703
(817) 596-3531
(817) 596-8822

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
K2068
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K2068
STATE LICENSE
TX
Enumeration date
04/06/2006
Last updated
07/08/2007
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