Individual
DR. MEGAN BETH MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD RM 641, INDIANAPOLIS, IN 46202-5149
(317) 278-2449
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01066841A
IN
2085R0202X
Diagnostic Radiology Physician
11013727A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201070450
—
IN
Enumeration date
06/20/2008
Last updated
02/10/2021
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