Individual
JOY M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13719 LORAIN AVE, CLEVELAND, OH 44111-3439
(216) 307-3005
Mailing address
13719 LORAIN AVE, CLEVELAND, OH 44111-3439
(216) 307-3005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-06-2262M
OH
207Q00000X
Family Medicine Physician
Primary
35062262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504232
ANTHEM BC/BS
OH
05
—
0135651
—
OH
01
—
H62262
APEX SUMMA
OH
01
—
P00705956
RRCARE
OH
Enumeration date
10/10/2006
Last updated
07/28/2020
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