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Individual

MARNIE J MARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20225
WV
207RN0300X
Nephrology Physician
35078494M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001720769
MT ST BLUE CROSS BS
WV
05
1803054000
WV
05
2205152
OH
01
78494
HPUOV
WV
Enumeration date
03/29/2006
Last updated
08/19/2019
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