Individual
DR. CARLOTTA M MARESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5400 MACKINAW RD, 5TH FLOOR, SAGINAW, MI 48604-9515
(989) 583-5060
(989) 583-5046
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2833
(989) 583-1440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CM042961
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020042476
RAILROAD MEDICARE #
MI
01
—
0207310861
HEALTHPLUS PROVIDER #
MI
01
—
0207311781
BCBS PROVIDER ID
MI
01
—
1009436
MCLAREN HEALTH PLAN #
MI
05
—
101590592
—
MI
01
—
104415
GREAT LAKES HEALTH PLAN
MI
01
—
382684672
TAX ID
MI
01
—
C3006
M-CARE PROVIDER NUMBER
MI
Enumeration date
09/15/2006
Last updated
06/13/2014
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