Individual
MICHAEL J MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
101 E BEVERLY BLVD, SUITE 205, MONTEBELLO, CA 90640-4315
(323) 724-6663
(323) 724-5816
Mailing address
101 E BEVERLY BLVD, STE 205, MONTEBELLO, CA 90640-4315
(323) 724-6663
(323) 724-5816
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720064165
—
CA
Enumeration date
12/19/2005
Last updated
04/05/2017
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