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Individual

STUART OTTMAR MARCUS

Active
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Individual

STUART OTTMAR MARCUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D21502
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
211701100
MD
01
601285800
FECA
Enumeration date
06/02/2006
Last updated
03/04/2010
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