Individual
DR. ROBERT P MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4111 FRANKLIN ST, MICHIGAN CITY, IN 46360-7803
(219) 873-2919
(219) 873-2909
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
02001671A
IN
207Q00000X
Family Medicine Physician
Primary
02001671A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021142
—
IN
01
—
L50159
PIN
IL
Enumeration date
07/13/2006
Last updated
03/07/2023
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