Individual
MARLIN W SCHUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 FLORIDA AVE, PANAMA CITY, FL 32405-4639
(850) 872-8510
Mailing address
802 EDINBURGH WAY, DOTHAN, AL 36305-6976
(765) 479-4216
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
01041607A
IN
202K00000X
Phlebology Physician
ME137749
FL
207P00000X
Emergency Medicine Physician
Primary
ME137749
FL
2086S0129X
Vascular Surgery Physician
01041607A
IN
2086S0129X
Vascular Surgery Physician
ME137749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488878
ANTHEM PROVIDER NUMBER
IN
01
—
11398636
CAQH
IN
01
—
KCIEX
BLUE CROSS
FL
Enumeration date
03/22/2006
Last updated
03/13/2023
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