Individual
DR. MARION E COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD, RM 3170, INDIANAPOLIS, IN 46202-5149
(317) 962-3886
(317) 948-1245
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
(317) 963-0860
(919) 843-5515
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01074224A
IN
207Y00000X
Otolaryngology Physician
200300767
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201233850
—
IN
01
—
P101641537
RAILROAD MEDICARE
IN
Enumeration date
10/03/2006
Last updated
06/29/2016
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