Individual
PATRICK B MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP/CRNA
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
3405 PINE CREEK DR, BRIGHTON, MI 48114-8694
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704320688
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704320688
MI
Other
Enumeration date
08/29/2022
Last updated
08/13/2025
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