Individual
DR. MICHAEL L MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 NE CUSHING DR, STE 100, BEND, OR 97701-3730
(541) 330-8226
(541) 318-0373
Mailing address
1303 NE CUSHING DR, SUITE 100, BEND, OR 97701-3887
(541) 388-2333
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD19422
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074435
—
OR
01
—
200026307
RAILROAD MEDICARE
OR
Enumeration date
12/21/2005
Last updated
11/29/2007
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