Individual
DR. MEDARDO RICHARD MAROTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503-2543
(616) 486-9600
Mailing address
1335 HONEY CREEK AVE NE, ADA, MI 49301-9577
(313) 737-3684
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125-051953
IL
207X00000X
Orthopaedic Surgery Physician
Primary
4301082076
MI
207XX0801X
Orthopaedic Trauma Physician
01095101A
IN
207XX0801X
Orthopaedic Trauma Physician
MD60004075
WA
207XX0801X
Orthopaedic Trauma Physician
N3165
TX
Other
Enumeration date
06/09/2008
Last updated
10/31/2024
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