Individual
MARCUS E UELTSCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 TURNER PARK DR, SALTILLO, MS 38866-9214
(662) 869-2122
(662) 869-1367
Mailing address
125 TURNER PARK DR, P. O. BOX 1389, SALTILLO, MS 38866-9214
(662) 869-2122
(662) 869-1367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17553
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015920
—
MS
05
—
00125653
—
MS
05
—
09015894
—
MS
05
—
1785601
—
LA
01
—
3191589
P JONES CIGNA
MS
01
—
425198310A
P JONES BLUE CROSS
MS
01
—
5153241
P JONES AETNA
MS
01
—
7813397
AETNA
MS
Enumeration date
07/17/2006
Last updated
04/23/2013
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