Provider Demographics
NPI:1083694699
Name:DOWNING, MARC THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:THOMAS
Last Name:DOWNING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 JOHN ST
Mailing Address - Street 2:SUITE M351
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-5341
Mailing Address - Country:US
Mailing Address - Phone:269-341-6900
Mailing Address - Fax:269-341-7883
Practice Address - Street 1:601 JOHN ST
Practice Address - Street 2:SUITE M351
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-5341
Practice Address - Country:US
Practice Address - Phone:269-341-6900
Practice Address - Fax:269-341-7883
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010780752086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4459017Medicaid
MICK6240OtherRAILROAD MEDICARE
MI0C97618056Medicare PIN
MI4459017Medicaid