Individual
DR. JEAN MARIE MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101049589
VA
207X00000X
Orthopaedic Surgery Physician
14996
SC
207X00000X
Orthopaedic Surgery Physician
34764
KY
207X00000X
Orthopaedic Surgery Physician
Primary
MD00042252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010048257
—
VA
01
—
102046
ANTHEM
VA
05
—
2044122
—
WA
01
—
340447
LABOR & INDUSTRIES
WA
01
—
421768
SOUTHERN HEALTH
VA
05
—
64992043
—
KY
01
—
P00139020
RAILROAD MEDICARE
VA
Enumeration date
07/14/2006
Last updated
08/15/2023
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