Individual
DR. MARK CRESTON MARIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
19315 W CATAWBA AVE, SUITE 100, CORNELIUS, NC 28031-8650
(704) 896-1811
(239) 542-8193
Mailing address
19315 WEST CATAWBA AVENUE, SUITE 100, CORNELIUS, NC 28031
(704) 896-1811
(239) 542-8193
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9058
FL
111NS0005X
Sports Physician Chiropractor
4334
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70040
BLUE CROSS
FL
Enumeration date
07/18/2005
Last updated
08/20/2013
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