Individual
DONALD RAY MARECLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
212 4TH AVE SE, SUITE 100, CULLMAN, AL 35055-3673
(256) 739-6050
(256) 739-4921
Mailing address
212 4TH AVE SE, SUITE 100, CULLMAN, AL 35055-3673
(256) 739-6050
(256) 739-4921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
09303
MS
208600000X
Surgery Physician
Primary
9759
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51035588
BLUE CROSS OF ALABAMA
AL
05
—
529702820
—
AL
Enumeration date
02/24/2006
Last updated
09/12/2016
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