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1922088426

NPI Code Detail

MEDICARE: DR. MISAEL MARQUEZ M.D.

MEDICARE: DR. MISAEL MARQUEZ 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	207Q00000X	Family Medicine Physician	C1-0005236	DE
2	207R00000X	Internal Medicine Physician	C1-0005236	DE
3	207R00000X	Internal Medicine Physician	179283	DE
4	207R00000X	Internal Medicine Physician	MD217629	OR

General Provider Information

NPI Number	:	1922088426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MISAEL MARQUEZ M.D.

Provider Business Mailing Address
First Line	:	1900 WOODLAND DR
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2099
Country	:	US
Telephone Number	:	541-267-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 WOODLAND DR
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2099
Country	:	US
Telephone Number	:	541-267-5151
Fax Number	:

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	10/31/2023

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Directions to “ DR. MISAEL MARQUEZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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