Individual
MARION JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3041 BEWICK ST, DETROIT, MI 48214-2161
(313) 410-9028
Mailing address
PO BOX 3359, HIGHLAND PARK, MI 48203-0359
(313) 410-9028
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
MI
Other
Enumeration date
12/08/2014
Last updated
12/12/2014
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