Individual
DR. AMANDA JUNE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
605 S STATE RD, DAVISON, MI 48423-1515
(810) 653-9060
(810) 658-2248
Mailing address
PO BOX 480, DAVISON, MI 48423-0480
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400534
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2021
Last updated
06/24/2024
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