Individual
DR. CARLOS MARCHENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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