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NPI Code Detail

MEDICARE: DR. MICHAEL SEAN MARCIN M.D., M.S.C.R.

MEDICARE: DR. MICHAEL SEAN MARCIN M.D., M.S.C.R.
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
12084P0005XNeurodevelopmental Disabilities Physician049407GA
22084P0005XNeurodevelopmental Disabilities PhysicianMD.61213218WA
32084P0005XNeurodevelopmental Disabilities Physician314609-01NY
42084P0804XChild & Adolescent Psychiatry PhysicianMD26579OR
52084P0005XNeurodevelopmental Disabilities PhysicianC 55101CA

General Provider Information

NPI Number : 1528100021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL SEAN MARCIN M.D., M.S.C.R.
Provider Business Mailing Address
First Line : 298 SAN ANTONIO RD STE 100
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-5309
Country : US
Telephone Number : 650-446-4900
Fax Number :
Provider Business Practice Location Address
First Line : 298 SAN ANTONIO RD STE 100
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-5309
Country : US
Telephone Number : 650-446-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 04/16/2024

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