Individual
DR. RANETTE Y MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5000
Mailing address
5100 AUTH WAY, SUITLAND, MD 20746-4207
(301) 702-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34-00-7633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366644197
GROUP NPI# - WALDORF OB/GYN
MD
01
—
1851473722
GROUP NPI# - MEDICAL AND SURGICAL CLINICS OF SOUTHERN MARYLAND
MD
05
—
2253449
—
OH
01
—
B776
BCBS NCA GROUP #
DC
01
—
KR10
MEDICARE GROUP PIN
MD
01
—
KR10ME
BCBS MD GROUP#
MD
Enumeration date
02/27/2006
Last updated
07/02/2021
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