Individual
MICHAEL TODD MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
(270) 659-5855
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
(270) 659-5855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27369
KY
208600000X
Surgery Physician
27369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64273691
—
KY
01
—
K058221
MEDICARE
KY
Enumeration date
01/11/2007
Last updated
03/02/2023
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