Individual
DR. MARALYN B SEAVOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
430 ALTAIR PKWY STE 210, WESTERVILLE, OH 43082-7647
(614) 898-7546
(614) 794-4294
Mailing address
430 ALTAIR PKWY STE 210, WESTERVILLE, OH 43082-7647
(614) 898-7546
(614) 794-4294
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35075155
OH
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35.075155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375981
ANTHEM
—
01
—
0301429
UHC
—
05
—
2339955
—
OH
01
—
7894498
AETNA
—
Enumeration date
05/17/2006
Last updated
08/13/2020
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