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Individual

MARC WHITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
430 WATERSTONE DR, HILLSBOROUGH, NC 27278-9078
(919) 966-7890
Mailing address
5668 E STATE ST, ROCKFORD, IL 61108-2464
(815) 229-7580
(815) 229-7585

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036088648
IL
208600000X
Surgery Physician
Primary
2023-02145
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020022268
RAILROAD MEDICARE
05
036088648
IL
05
32030300
WI
Enumeration date
07/10/2006
Last updated
03/06/2024
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