Individual
MARK MARCHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-7411
Mailing address
3949 BROWNING PL, RALEIGH, NC 27609-6504
(919) 787-7411
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
2007-00617
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204246
MEDICARE
NC
01
—
204315
MEDICARE
NC
01
—
204326
MEDICARE
NC
05
—
5908490
—
NC
Enumeration date
02/03/2006
Last updated
07/01/2008
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