Individual
MARC A MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4001 KRESGE WAY, SUITE 200, LOUISVILLE, KY 40207-4640
(502) 895-1995
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25252
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64252521
—
KY
Enumeration date
01/11/2006
Last updated
01/27/2015
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