Individual
DR. MARISSA B. CATALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301061651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021715
MHP HAN
MI
01
—
350D410030
BCBSM BCN BLUE CHOICE
MI
05
—
4733330
—
MI
05
—
4956881
—
MI
Enumeration date
05/03/2006
Last updated
03/29/2019
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