Individual
DR. MARSHALL EDWARD MCCABE IV
Active
Individual
DR. MARSHALL EDWARD MCCABE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02004673A
IN
207RG0100X
Gastroenterology Physician
Primary
OP60945227
WA
390200000X
Student in an Organized Health Care Education/Training Program
11016698A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201121960
—
IN
Enumeration date
06/26/2012
Last updated
09/03/2019
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