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MARILYN ESTRADA INTENGAN MD NPI 1770595563


NPI Information

NPI: 1770595563
Provider Name: MARILYN ESTRADA INTENGAN, MD
Classification: Pathology - 207ZP0105X
Entity Type: Individual

Specialization: Clinical Pathology/Laboratory Medicine

Address:
200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 364-6700
Get Directions

Marilyn Estrada Intengan, MD is a clinical pathology/laboratory medicine pathology in Grand Rapids, MI. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Marilyn Estrada Intengan, MD NPI is 1770595563. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 364-6700
Fax: (616) 364-4960

The enumeration date for this NPI number is 8/12/2006 and was last updated on 8/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0105XPathologyClinical Pathology/Laboratory Medicine4301084873MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10N73070MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2B71657MEDICARE UPIN
3P00192611OTHERMICHIGANRR MEDICARE
446540263100MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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