Individual
MARC A LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 MACARTHUR BLVD, STE 405, MUNSTER, IN 46321-2919
(219) 836-5167
(219) 836-5249
Mailing address
801 MACARTHUR BLVD, STE 405, MUNSTER, IN 46321-2919
(219) 836-5167
(219) 836-5249
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01023340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383681
ANTHEM BCBS
IN
05
—
100157720A
—
IN
01
—
P00289364
MEDICARE RAILROAD
IN
Enumeration date
12/14/2005
Last updated
05/19/2010
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