Individual
DR. MARION R PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5195 MAYFIELD RD, SUITE 101, LYNDHURST, OH 44124-2464
(440) 442-0400
(440) 461-6005
Mailing address
5187 MAYFIELD RD STE 102, LYNDHURST, OH 44124-2467
(440) 449-2809
(440) 442-3476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34004052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0572072
—
OH
01
—
1790724250
NPI
OH
Enumeration date
06/06/2006
Last updated
03/30/2016
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