Individual
QUEEN A MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6920 INDIANAPOLIS BOULEVARD, HAMMOND, IN 46324-1150
(219) 763-8112
(219) 764-3251
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-3251
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01065023A
IN
207V00000X
Obstetrics & Gynecology Physician
036066269
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200890060
—
IN
Enumeration date
09/28/2006
Last updated
02/14/2014
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