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NPI Code Detail

MEDICARE: DR. CARLOS MARCHENA M.D.

MEDICARE:  DR. CARLOS  MARCHENA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianCM040033MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P41306OTHERMIBLUE CARE NETWORK
30090010OTHERMIBLUE CROSS BLUE SHIELD MI
4XX27323OTHERMIHEALTHPLUS OF MI

General Provider Information

NPI Number : 1548374788
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS MARCHENA M.D.
Provider Business Mailing Address
First Line : 2464 WEXFORD DR
Second Line :
City : TROY
State : MI
Zip : 48084-2712
Country : US
Telephone Number : 248-703-0995
Fax Number :
Provider Business Practice Location Address
First Line : 3170 S PROFESSIONAL DR
Second Line :
City : BAY CITY
State : MI
Zip : 48706
Country : US
Telephone Number : 989-667-8872
Fax Number : 989-686-8514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CARLOS MARCHENA M.D.” Practice Location

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