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NPI Code Detail

MEDICARE: MARVIN S. KROBER M.D.

MEDICARE: MARVIN S. KROBER 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
12080A0000XPediatric Adolescent Medicine PhysicianMD00036504WA
22080P0208XPediatric Infectious Diseases PhysicianMD00036504WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639221088
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARVIN S. KROBER M.D.
Provider Business Mailing Address
First Line : PO BOX 34584
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1584
Country : US
Telephone Number : 509-241-7349
Fax Number : 509-241-7628
Provider Business Practice Location Address
First Line : 125 16TH AVE E
Second Line : CSB-4
City : SEATTLE
State : WA
Zip : 98112-5211
Country : US
Telephone Number : 206-326-3530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 01/18/2026

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