Individual
MRS. MARJA J SPROCK
Active
Individual
MRS. MARJA J SPROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
058523
MI
207V00000X
Obstetrics & Gynecology Physician
ME100296
FL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME100296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116624300
—
FL
01
—
MS058523
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/29/2006
Last updated
06/03/2024
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