Individual
MARA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(610) 526-3000
Mailing address
255 W. MICHIGAN, JACKSON, MI 49201-1123
(517) 787-6440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD027308E
PA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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