Provider Demographics
NPI:1760473409
Name:MARIN, MARK NORMAN (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:NORMAN
Last Name:MARIN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:655 MAIN ST
Mailing Address - Street 2:SACO VA CLINIC
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1543
Mailing Address - Country:US
Mailing Address - Phone:207-294-3118
Mailing Address - Fax:207-286-3709
Practice Address - Street 1:655 MAIN ST
Practice Address - Street 2:SACO VA CLINIC
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1543
Practice Address - Country:US
Practice Address - Phone:207-294-3118
Practice Address - Fax:207-286-3709
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2014-12-16
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Provider Licenses
StateLicense IDTaxonomies
ME1604207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine