Individual
MARCUS SANTIAGO CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 BIRCH ST, MORGANTOWN, WV 26506-1102
(304) 293-3693
Mailing address
1200 E MICHIGAN AVE STE 245, LANSING, MI 48912-1897
(517) 364-5252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301112863
MI
2083X0100X
Occupational Medicine Physician
Primary
31528
WV
Other
Enumeration date
06/27/2017
Last updated
04/12/2023
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