Individual
DR. SUSAN ADAMS MARIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 W PORPHYRY ST STE 200, BUTTE, MT 59701-2000
(406) 496-3627
(406) 723-2496
Mailing address
305 W PORPHYRY ST STE 200, BUTTE, MT 59701-2000
(406) 496-3627
(406) 723-2496
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
21575
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
83792
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195790
MEDCOST
SC
01
—
4512373
AETNA
SC
05
—
8906392
—
NC
01
—
P00041395
RAILROAD MEDICARE
SC
05
—
T57872
—
SC
Enumeration date
01/23/2006
Last updated
08/06/2020
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