Provider Demographics
NPI:1760175772
Name:OOSENBRUG, MARCUS (MD CM)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:
Last Name:OOSENBRUG
Suffix:
Gender:M
Credentials:MD CM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2950 CLEVELAND CLINIC BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3609
Mailing Address - Country:US
Mailing Address - Phone:954-659-5000
Mailing Address - Fax:216-445-1079
Practice Address - Street 1:2950 CLEVELAND CLINIC BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3609
Practice Address - Country:US
Practice Address - Phone:954-659-5000
Practice Address - Fax:216-445-1079
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-26
Last Update Date:2024-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL165119208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery