MEDICARE: DR. MARC MERIAN-GENAST 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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	141985	NC

General Provider Information

NPI Number	:	1699969675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC MERIAN-GENAST M.D.

Provider Business Mailing Address
First Line	:	TRENT DR
Second Line	:	5309 DUKE CLINIC BUILDING BOX 3000
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-970-2360
Fax Number	:

Provider Business Practice Location Address
First Line	:	TRENT DR
Second Line	:	5309 DUKE CLINIC BUILDING BOX 3000
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	919-970-2360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	08/31/2007

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