Individual
MICHAEL MARIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2880 NW STEWART PKWY STE 100, ROSEBURG, OR 97471-1203
(541) 673-2267
(541) 672-9483
Mailing address
1415 WOODLAND AVE STE 140, DES MOINES, IA 50309-3203
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD206700
OR
208600000X
Surgery Physician
R-10677
IA
Other
Enumeration date
06/28/2016
Last updated
09/07/2021
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