Provider Demographics
NPI:1972517431
Name:TOWER, MARCUS E (MD)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:E
Last Name:TOWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6770 MAYFIELD RD STE 225
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-449-5557
Mailing Address - Fax:440-449-0031
Practice Address - Street 1:6770 MAYFIELD RD STE 225
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2299
Practice Address - Country:US
Practice Address - Phone:440-449-5557
Practice Address - Fax:440-449-0031
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01027582207V00000X
OH35046342T207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0464233Medicaid
OHCO2127Medicare UPIN
OH0464233Medicaid