Individual
DR. MARIVIC D MASSAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
971 CANTERBURY RD, GROSSE POINTE WOODS, MI 48236-1252
(313) 885-4489
Mailing address
971 CANTERBURY RD, GROSSE POINTE WOODS, MI 48236-1252
(313) 885-4489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301036945
MI
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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