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Individual

MICHAEL BRYANT MARCUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
VL73038714
OH
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2229743
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2229743
OH
Enumeration date
06/03/2007
Last updated
09/11/2025
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