Provider Demographics
NPI:1548314198
Name:LINDROTH, MARIANNE (MD)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:LINDROTH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:205 MILLER SPRINGS COURTQ
Mailing Address - Street 2:ATTN:CBO
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-5434
Mailing Address - Country:US
Mailing Address - Phone:615-468-6548
Mailing Address - Fax:615-296-0151
Practice Address - Street 1:605 COTTAGE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-6074
Practice Address - Country:US
Practice Address - Phone:812-377-6020
Practice Address - Fax:812-377-6024
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2010-09-29
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Provider Licenses
StateLicense IDTaxonomies
IN1051703A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INA72217Medicare UPIN