Individual
MARSHA L. CHAFFINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HENRY FORD HEALTH SYSTEM, 3031 WEST GRAND BLVD., DETROIT, MI 48202
(313) 916-2454
Mailing address
HENRY FORD HEALTH SYSTEM, 3031 WEST GRAND BLVD., DETROIT, MI 48202
(313) 916-2454
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
054211
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294802010
—
MI
01
—
700H262200
BLUE CROSS-BLUE CROSS
—
01
—
MC054211
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/02/2006
Last updated
08/02/2012
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