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Individual

MARC HAMBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9800 VALPARAISO DR, MUNSTER, IN 46321-4040
(219) 934-9818
(219) 934-9815
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01046020
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01046020A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200804160A
IN
Enumeration date
03/24/2006
Last updated
09/23/2022
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