Individual
ROBERT THOMAS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Mailing address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704355046
MI
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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