Provider Demographics
NPI:1760175772
Name:OOSENBRUG, MARCUS (MD CM)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:OOSENBRUG
Suffix:
Gender:M
Credentials:MD CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 CLEVELAND CLINIC BLVD.
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331
Mailing Address - Country:US
Mailing Address - Phone:954-659-5000
Mailing Address - Fax:216-445-1079
Practice Address - Street 1:2905 CLEVELAND CLINIC BLVD.
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331
Practice Address - Country:US
Practice Address - Phone:954-659-5000
Practice Address - Fax:216-445-1079
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program