NPI 1043295694
James G Marencik, MD
Practice location
- Address
- 645 S Rogers St, Bloomington, IN 47403-2353
- Phone
- (812) 339-1691
- Fax
- (812) 339-8109
Registered specialties (2)
Psychiatry Physician
Primary
Child & Adolescent Psychiatry Physician
Registry record
- NPI
- 1043295694
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Dec 2005
- Record last updated
- 17 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.