Provider Demographics
NPI:1033104377
Name:WARNER, MARIE J (DO)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:J
Last Name:WARNER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-812-3950
Practice Address - Street 1:2250 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2857
Practice Address - Country:US
Practice Address - Phone:717-851-1566
Practice Address - Fax:717-812-3950
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2021-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOSS007125L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA006178OtherGEISINGER HEALTH PLAN
PA7160949OtherAETNA
PAP004763OtherGATEWAY-WMG
PA079186OtherHIGHMARK BLUE SHIELD
PA239996OtherUNISON-WMG
PA104613OtherJOHNS HOPKINS
PA50062674OtherCAPITAL BLUE CROSS-WMG
PA001297327Medicaid
PA20075714OtherAMERIHEALTH MERCY-WMG
MD616925OtherCAREFIRST MD BCBS
MD616925OtherCAREFIRST MD BCBS
PA50062674OtherCAPITAL BLUE CROSS-WMG
PA20075714OtherAMERIHEALTH MERCY-WMG
PA7160949OtherAETNA