Michael Bryant Marcum

NPI 1679775654 - Contractor - 171WH0202X

NPI Details
NPI 1679775654
Gender Male
Enumeration Date 06/03/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1465 MORRIS LANE BLUE RUN RD # A
LUCASVILLE OH, 45648-8701, US
Phone (740) 259-9531
Fax (740) 259-9531
Business Location
1465 MORRIS LANE BLUE RUN RD # A
LUCASVILLE OH, 45648-8701, US
Phone (740) 259-9531
Fax (740) 259-9531
Toxanomy
Taxonomy Code 171WH0202X
License State Ohio
License Number VL73038714
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According to our database, Michael Bryant Marcum NPI is 1679775654, taxonomy code is 171WH0202X and license number is VL73038714, license state is located at Ohio. Michael Bryant Marcum physically located at 1465 Morris Lane Blue Run Rd # A, Lucasville OH, 45648-8701. NPI Number Michael Bryant Marcum has the Individual type.

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1679775654 NPI number is provided on an as is basis without warranty of any kind. 1679775654 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Bryant Marcum are for informational purposes only.