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Organization

MARATHON MEDICAL CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABNER J ESPINOSA M.D. (PRESIDENT)
(810) 793-7550
Entity
Organization

Contact information

Practice address
4526 PINE ST, COLUMBIAVILLE, MI 48421-8920
(810) 793-7550
(810) 793-7962
Mailing address
PO BOX 7, COLUMBIAVILLE, MI 48421-0007
(810) 793-7550
(810) 793-7962

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039120
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2097133
MI
Enumeration date
10/26/2010
Last updated
10/26/2010
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