Individual
MARLANA OTTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
291 STONER AVE, WESTMINSTER, MD 21157-5647
(410) 871-6400
Mailing address
291 STONER AVE, WESTMINSTER, MD 21157-5647
(410) 871-6400
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0043754
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
996102000
—
MD
01
—
G010 / 0003
BLUECHOICE
MD
01
—
KDA7 / 614931-02
BC / BS OF MD
MD
Enumeration date
05/20/2006
Last updated
10/11/2021
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