Doctor Name: | DR. MICHAEL D. MARSH |
NPI Number: | 1003878646 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | K2068 |
Business Practice Address: | 1929 Fort Worth Hwy Weatherford, TX - 760864703 |
Business Phone Number: | 8175963531 |
Business Fax Number: | 8175968822 |
Mailing Address: | 1929 Fort Worth Hwy, WEATHERFORD |
State: | TX |
Postal Code: | 760864703 |
Phone Number: | 8175963531 |
Fax Number: | 8175968822 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | K2068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |