Marilyn Estrada Intengan, MD - Pathology in Grand Rapids, MI

Marilyn Estrada Intengan, MD is a Pathology - Clinical Pathology/laboratory Medicine physician based in Grand Rapids, Michigan. Marilyn Estrada Intengan is licensed to practice in Michigan (license number 4301084873) and her current practice location is 200 Jefferson Ave Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 364-6700.

NPI number for Marilyn Estrada Intengan is 1770595563 and her current mailing address is Po Box 77000, Dept # 77339, Detroit, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770595563.

Contact Information

Marilyn Estrada Intengan, MD
200 Jefferson Ave Se,
Grand Rapids, MI 49503
(616) 364-6700
(616) 364-4960

Map and Direction




Physician's Profile

Full NameMarilyn Estrada Intengan
GenderFemale
SpecialityPathology - Clinical Pathology/laboratory Medicine
Location200 Jefferson Ave Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1770595563
  • Provider Enumeration Date: 08/12/2006
  • Last Update Date: 08/20/2007

Medical Identifiers

Medical identifiers for Marilyn Estrada Intengan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770595563NPI-NPPES
46540263100MedicaidMI
P00192611OtherMIRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0105XPathology - Clinical Pathology/laboratory Medicine 4301084873 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marilyn Estrada Intengan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marilyn Estrada Intengan, MD
Po Box 77000, Dept # 77339,
Detroit, MI 48277-0339

Ph: (616) 364-6700
Marilyn Estrada Intengan, MD
200 Jefferson Ave Se,
Grand Rapids, MI 49503

Ph: (616) 364-6700

Reviews and Comments


Pathology Doctors in Grand Rapids, MI

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Phone: 616-364-6700    Fax: 616-364-4960
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