Provider Demographics
NPI:1861510158
Name:MARRE, FRANK (DO, MS FAOCOPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:MARRE
Suffix:
Gender:M
Credentials:DO, MS FAOCOPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-0334
Mailing Address - Country:US
Mailing Address - Phone:616-682-1143
Mailing Address - Fax:
Practice Address - Street 1:1231 E BELTLINE AVE NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-7024
Practice Address - Country:US
Practice Address - Phone:616-464-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010156482083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine