Individual
DR. BIENVENIDO BASILIO MARQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5155 FEDORA DR, TROY, MI 48085-4064
(248) 879-8215
Mailing address
5155 FEDORA DR, TROY, MI 48085-4064
(248) 879-8215
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301037686
MI
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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