Individual
MARILYN V WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 HILLCREST CT, OSSIAN, IN 46777-9053
(260) 622-4707
Mailing address
105 HILLCREST CT, OSSIAN, IN 46777-9053
(260) 622-4707
(260) 622-4617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037971
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000614630
ANTHEM
IN
05
—
100468350
—
IN
05
—
100468350A
—
IN
05
—
100468350X
—
IN
Enumeration date
02/28/2006
Last updated
09/04/2013
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