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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARC MUNROE ISERI, MD

Deactivated Sole Proprietor

DR. MARC MUNROE ISERI, MD is a Specialist healthcare provider located in ONTARIO, Oregon. NPI 1417909599 is deactivated in the NPPES registry. Verify at CMS.

Specialist · ONTARIO, OR

This NPI has been deactivated. The record was deactivated on July 17, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1417909599
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2006 (1.1693989071038 yrs)
Last Updated
Sep 11, 2012
Deactivated
Jul 17, 2007
Licenses
10382 (OR)
10382 (OR)
Sole Proprietor
Yes

Practice Information

Address
1077 SW 3RD AVE
ONTARIO, OR, 97914
Browse OR providers · Browse ZIP 97914
Phone
5418897205
Fax
5418899204
Primary Specialty
Specialist
174400000X
Additional Specialty
Urology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.