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Individual

MARISSA BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-3333
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
NA
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
N/A
Enumeration date
04/23/2019
Last updated
06/19/2023
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