NPI 1275515710

Marc Alan Booth, MD

Practitioner Ophthalmology Physician Michigan City, IN

Practice location

Address: 1225 E Coolspring Ave STE 1-B, Michigan City, IN 46360-6312
Phone: (219) 879-6531
Mailing address: PO Box 781076, Detroit, MI 48278-1076

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 01061093A (IN)

Other Ophthalmology providers in Indiana →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 2023-00058 (NC)

Registry record

NPI: 1275515710
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Nov 2005
Record last updated: 13 Feb 2023

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.