Individual
JENNIFER K MARATT
Active
Individual
JENNIFER K MARATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082364A
IN
207R00000X
Internal Medicine Physician
4301096610
MI
207RG0100X
Gastroenterology Physician
Primary
01082364A
IN
207RG0100X
Gastroenterology Physician
4301096610
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301096610
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001289910
ANTHEM PTAN
IN
01
—
1102489979
ANTHEM PTAN
IN
05
—
300027704
—
IN
Enumeration date
06/02/2010
Last updated
03/14/2025
Update your record
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