Individual
DR. THOMAS F MARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 W BROADWAY, PMS -FARMINGTON COMMUNITY HEALTH CENTER, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 325-9113
Mailing address
1001 W BROADWAY, PMS -FARMINGTON COMMUNITY HEALTH CENTER, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 325-9113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301082611
MI
207Q00000X
Family Medicine Physician
45881
WI
207Q00000X
Family Medicine Physician
Primary
MD2011-0630
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099K5MA
BCBS OF MN
MN
01
—
1034894
PREFERREDONE
—
05
—
34409100
—
WI
05
—
4524367
—
MI
01
—
TM082611
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/13/2005
Last updated
08/30/2011
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