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Individual

MARLIEKE E NUSSENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1015 BOULEVARD SE APT 629, ATLANTA, GA 30312-3961
(919) 360-5327
Mailing address
1015 BOULEVARD SE APT 629, ATLANTA, GA 30312-3961
(919) 360-5327

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
0101279889
VA
2086S0102X
Surgical Critical Care Physician
Primary
165035
FL
2086S0102X
Surgical Critical Care Physician
90761
SC

Other

Enumeration date
07/26/2013
Last updated
02/19/2024
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