Individual
MARY CHRISTINE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8195 S SAGINAW ST, GRAND BLANC, MI 48439-1885
(810) 695-2210
(810) 695-9530
Mailing address
8195 S SAGINAW ST, GRAND BLANC, MI 48439-1885
(810) 695-2210
(810) 695-9530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MM070680
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080162382
RAILROAD MR PROVIDER #
MI
01
—
0802505112
BCBS PROVIDER NUMBER
MI
01
—
0988828
HEALTHPLUS PROVIDER #
MA
05
—
104238722
—
MI
01
—
131834
PREFERRED CHOICES #
MI
01
—
383551198
TAX ID
MI
01
—
C7218
MCARE PROVIDER #
MI
01
—
P11144157
MULTIPLAN PROVIDER #
MI
Enumeration date
10/16/2006
Last updated
08/10/2011
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