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Individual
DR. NICOLAS ATIF MARSHEH
Active
Individual
DR. NICOLAS ATIF MARSHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00984
BCBS
MI
01
—
1106348002
BLUE CROSS BLUE SHIELD
MI
01
—
20-2076304
TAX ID
MI
01
—
23D1050828
CLIA
MI
01
—
4301069838
CONTOLLED SUBSTANCE
MI
05
—
4732824
—
MI
01
—
NM 069838
STATE LISCENCE NUMBER
MI
Enumeration date
07/21/2006
Last updated
04/21/2025
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