Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D0053748 | MD |
Y | 207XS0106X | Orthopaedic Hand Surgeon | D0053748 | MD |
N | 2086S0105X | Surgery of the Hand | D0053748 | MD |
NPI | 1679595425 |
---|---|
Provider Name | Michael J Marion |
First Address | Towson, MD 21204-2012 |
Second Address | Towson, MD 21204-2012 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 13/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
186901900 | (05) | MD |
267576YNDZ | MEDICARE PTAN (01) | MD |
G29729 | (02) |