Individual
MARC ALLAN MEUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG. 159, TROUTE AVE, GROTON, CT 06340
(512) 638-9894
Mailing address
704 PLEASANT VALLEY RD N APT 301, GROTON, CT 06340-2562
(512) 638-9894
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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