Individual
DR. SUSAN M MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 13TH ST, HAVRE, MT 59501-5222
(406) 265-2211
Mailing address
30 13TH ST, HAVRE, MT 59501-5222
(406) 265-2211
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2013-02219
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
6233
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186MA
BCBS NC
NC
05
—
1902127970
—
NC
Enumeration date
06/14/2010
Last updated
09/03/2015
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