Individual
DR. CARLOS MARCHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3170 S PROFESSIONAL DR, BAY CITY, MI 48706
(989) 667-8872
(989) 686-8514
Mailing address
2464 WEXFORD DR, TROY, MI 48084-2712
(248) 703-0995
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
CM040033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090010
BLUE CROSS BLUE SHIELD MI
MI
05
—
303750
—
MI
01
—
P41306
BLUE CARE NETWORK
MI
01
—
XX27323
HEALTHPLUS OF MI
MI
Enumeration date
08/17/2006
Last updated
07/08/2007
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