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Marlon Buenvenida

Physical Medicine & Rehabilitation in Battle Creek, MI. Individual provider (NPI-1).

NPI number1164075214
StatusActive
Last updated in NPPESJul 18, 2019

Details

NPI
1164075214
Entity type
Individual (NPI-1)
Name
Marlon Buenvenida
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2019
Last updated
Jul 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation5501007481MIYes

Practice location

300 North Avenue
Battle Creek, MI 49017

Phone 269-245-8125

Mailing address

4859 Deerview Ave
Battle Creek, MI 49015-9303

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