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Individual

MARCELLE R SOLIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, MPAS

Contact information

Practice address
2525 W UNIVERSITY AVE, MUNCIE, IN 47303-3421
(765) 751-2600
(765) 751-5347
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002402A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300022804
IN
01
716700046
MEDICARE
IN
01
M22404214
MEDICARE
IN
Enumeration date
12/10/2018
Last updated
01/03/2023
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