Organization
ANDREW L. MARCUS, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW L MARCUS M.D. (OWNER)
(313) 730-9100
Entity
Organization
Contact information
Practice address
3815 PELHAM ST, SUITE 14, DEARBORN, MI 48124-3852
(313) 730-9100
(313) 730-9104
Mailing address
3815 PELHAM ST, SUITE 14, DEARBORN, MI 48124-3852
(313) 730-9100
(313) 730-9104
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
AM042540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130823449
BLUE CROSS
MI
05
—
298636210
—
MI
Enumeration date
04/22/2008
Last updated
04/22/2008
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