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Individual

MARIAN D PFEFFERKORN

Active
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Individual

MARIAN D PFEFFERKORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
01048304
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011506
VT
05
200186770
IN
05
64881501
KY
Enumeration date
08/21/2006
Last updated
02/07/2026
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