Individual
MARC A NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 369-8711
(740) 368-5050
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001224
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00139024
RAILROAD MEDICARE
OH
Enumeration date
05/03/2006
Last updated
10/19/2007
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