Provider Demographics
NPI:1740627280
Name:GO-WHEELER, MARIANNE GARCIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:GARCIA
Last Name:GO-WHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MARIANNE
Other - Middle Name:GARCIA
Other - Last Name:GO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:999 N TUSTIN AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-6501
Mailing Address - Country:US
Mailing Address - Phone:714-664-0045
Mailing Address - Fax:714-664-0049
Practice Address - Street 1:999 N TUSTIN AVE STE 109
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6501
Practice Address - Country:US
Practice Address - Phone:714-664-0045
Practice Address - Fax:714-664-0049
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA132593207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease