Individual
MARVIN LAITH KAJY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(248) 483-1731
Mailing address
28632 APPLEBLOSSOM LN, FARMINGTON HILLS, MI 48331-2403
(248) 483-1731
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301501728
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
05/19/2022
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