Individual
MARSHA D WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15718
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013784
—
OR
01
—
P00252356
RR MEDICARE
OR
Enumeration date
07/14/2006
Last updated
10/17/2012
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