Provider Demographics
NPI:1205026374
Name:MARCIEL, ANN MARIE (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN MARIE
Middle Name:
Last Name:MARCIEL
Suffix:
Gender:F
Credentials:MD/PHD
Other - Prefix:
Other - First Name:ANN MARIE
Other - Middle Name:MARCIEL
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-5349
Mailing Address - Country:US
Mailing Address - Phone:216-448-0219
Mailing Address - Fax:216-448-0220
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-5349
Practice Address - Country:US
Practice Address - Phone:216-448-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1390602085R0202X
TXM19052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L12783Medicare PIN