Individual
MICHAEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
113 SALEM TOWNE CT, APEX, NC 27502-2311
(919) 367-8411
(919) 367-8431
Mailing address
113 SALEM TOWNE CT, APEX, NC 27502-2311
(919) 367-8411
(919) 367-8431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1716
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890908C
—
NC
Enumeration date
05/06/2006
Last updated
05/07/2015
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