Marietta, Michael

Marietta, Michael is an sole proprietor health care provider with primary practice located at 2880 Nw Stewart Pkwy Ste 100 , Roseburg OR 97471-1203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Marietta, Michael can be contacted via phone (541) 673-2267.

Contact Information

Primary practice address
2880 Nw Stewart Pkwy Ste 100 Roseburg OR 97471-1203
Phone: (541) 673-2267
Fax: (541) 672-9483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R-10677 Iowa
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD206700 Oregon

Profile Details

NPI number 1669823985
LBN Legal business name Marietta, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2016
Last updated Sep 7th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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