Individual
MARC E HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1313 N COURT ST, SUITE B, OTTUMWA, IA 52501-1911
(641) 682-4978
(641) 682-0722
Mailing address
1313 N COURT ST, SUITE B, OTTUMWA, IA 52501-1911
(641) 682-4978
(641) 682-0722
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23551
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3205153
—
IA
Enumeration date
08/15/2005
Last updated
07/08/2007
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