National Provider Identifier
Mark Stephen St Marie, MD
Mark Stephen St Marie, MD is listed in the NPPES registry with a primary specialty of Gastroenterology Physician in Williamsville, NY and a listed phone number of (716) 626-2644.
Profile Overview
- NPI
- 1629150792
- Provider Type
- Individual
- Primary Specialty
- Gastroenterology Physician
- Enumeration Date
- October 19, 2006
- Last Updated
- August 27, 2024
Practice Location
- 111 N Maplemere RD Ste 200
- Williamsville, NY 14221-3182
Phone: (716) 626-2644
Specialties
- Gastroenterology Physician (207RG0100X)
Full Record
- NPI
- 1629150792
- Entity Type
- Individual
- Last Name
- St Marie
- First Name
- Mark
- Middle Name
- Stephen
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 111 N Maplemere RD Ste 200
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-3182
- Mailing Country
- US
- Mailing Phone
- (716) 626-2644
- Practice Street Address
- 111 N Maplemere RD Ste 200
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3182
- Practice Country
- US
- Practice Phone
- (716) 626-2644
- Enumeration Date
- October 19, 2006
- Last Updated
- August 27, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- August 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gastroenterology Physician (207RG0100X)