Marcus Santiago Cervantes, MD
Preventive Medicine, Occupational Medicine in Morgantown, WV. Individual provider (NPI-1).
NPI number1982124384
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1982124384
- Entity type
- Individual (NPI-1)
- Name
- Marcus Santiago Cervantes
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2017
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083X0100X | Preventive Medicine, Occupational Medicine | 31528 | WV | Yes |
| 207Q00000X | Family Medicine | 4301112863 | MI |
Practice location
390 Birch StMorgantown, WV 26506-1102
Phone 304-293-3693
Mailing address
1200 E Michigan Ave Ste 245Lansing, MI 48912-1897
Phone 517-364-5252
Other practice locations
1200 E Michigan Ave Ste 245
Lansing, MI 48912-1897
Lansing, MI 48912-1897
Phone 517-364-5252
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