Marley Bird, Susan Marie

Marley Bird, Susan Marie is an individual health care provider with primary practice located at 615 Valley View Dr Ste 202, Moline IL 61265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Marley Bird, Susan Marie can be contacted via phone (309) 762-1072.

Contact Information

Primary practice address
615 Valley View Dr Ste 202 Moline IL 61265
Phone: (309) 762-1072
Fax: (309) 762-1094
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 63988-20 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 29066 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036-088118 Illinois

Profile Details

NPI number 1225038854
LBN Legal business name Marley Bird, Susan Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated May 25th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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