Individual provider · Type 1 NPI

Manuel I. Marban Ii, MD

Specialist · St. Louis, MO

NPI number 1225251028 Active

Practice location

5471 Dr Martin Luther King Dr
St. Louis, MO 63112-4265

Fax (314) 367-6326

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X33139 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1225251028

Manuel I. Marban Ii, MD's National Provider Identifier is 1225251028, issued on Apr 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 24, 2011.