Individual
DR. RENEE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2101 TENAYA DR, MODESTO, CA 95354-3930
(209) 527-0080
Mailing address
5636 WILKINS AVE, OAKDALE, CA 95361-7752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A76378
CA
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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