Individual
MARC EVAN SERVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1120 POLARIS PKWY STE 200, COLUMBUS, OH 43240
(614) 880-9333
(614) 880-9333
Mailing address
1120 POLARIS PKWY STE 200, COLUMBUS, OH 43240-4042
(614) 880-9333
(614) 880-9333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.013369
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0291007
—
OH
Enumeration date
03/09/2015
Last updated
06/27/2018
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