Individual
WENDY J MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, FACS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036075261
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075261
—
IL
01
—
4226783
AETNA
IL
01
—
69988
HEALTH ALLIANCE, URBANA
IL
01
—
9930030
BC/BS OF ILLINOIS
IL
Enumeration date
02/22/2006
Last updated
08/12/2008
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