MARY MARSHALL MD PC NPI 1558451724

NPI Information

NPI: 1558451724
Provider Name: MARY MARSHALL, MD, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8195 S SAGINAW ST
GRAND BLANC, MI
ZIP 48439
Phone: (810) 695-2210
Get Directions

MARY MARSHALL, MD, PC is a family medicine in Grand Blanc, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARY MARSHALL, MD, PC NPI is 1558451724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8195 S SAGINAW ST
GRAND BLANC, MI
ZIP 48439-885
Phone: (810) 695-2210
Fax: (810) 695-9530

The provider's authorized official is Mary Christine Marshall .
The authorized official title is Owner/president and has the following contact phone number (810) 695-2210.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/10/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MM070680	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	104238722	MEDICAID	MICHIGAN
2	080162382	OTHER	MICHIGAN	RAILROAD MR PROV #
3	P11144157	OTHER	MICHIGAN	MULTIPLAN PROV #
4	=========	OTHER	MICHIGAN	TAX ID
5	0802505112	OTHER	MICHIGAN	BCBS PROV #
6	0988828	OTHER	MICHIGAN	HEALTHPLUS PROV #
7	131834	OTHER	MICHIGAN	PREFERRED CHOICES #
8	P11144157	OTHER	MICHIGAN	HAP PROV #
9	0N88540	MEDICARE PIN	MICHIGAN
10	C7218	OTHER	MICHIGAN	MCARE PROV #
11	H14889	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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