Individual
JUSTIN THOMAS MARZEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
311 MACK AVE STE 64100, DETROIT, MI 48201
(313) 832-0650
Mailing address
311 MACK AVE STE 64100, DETROIT, MI 48201
(313) 832-0650
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601007444
MI
363A00000X
Physician Assistant
C0005540
MD
363AS0400X
Surgical Physician Assistant
Primary
PA.61146555
WA
Other
Enumeration date
09/17/2014
Last updated
04/23/2026
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