Provider Demographics
NPI:1689694671
Name:MARL, ANTHONY E (DO)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:E
Last Name:MARL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:123 LANSING ST.
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813
Mailing Address - Country:US
Mailing Address - Phone:517-543-0600
Mailing Address - Fax:517-543-9533
Practice Address - Street 1:123 LANSING ST.
Practice Address - Street 2:SUITE 3A
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813
Practice Address - Country:US
Practice Address - Phone:517-543-0600
Practice Address - Fax:517-543-9533
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015680207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine