Individual
MARCUS SANTIAGO CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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