Individual
ANGELA MARIE MARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(586) 243-3036
Mailing address
4100 JOHN R ST STE 400, DETROIT, MI 48201-2013
(313) 745-7454
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601004287
MI
Other
Enumeration date
03/29/2007
Last updated
08/21/2024
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