Individual
MARLA R FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD00027552
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039575
LABOR & INDUSTRY
WA
01
—
220013336
RAILROAD MEDICARE
—
05
—
8126054
—
WA
01
—
FE1168
BLUE SHIELD
WA
01
—
MD3432W
ALASKA MEDICAID
WA
01
—
US0861914
AETNA/USHC SPECIALIST
WA
Enumeration date
07/13/2006
Last updated
06/17/2008
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