Individual
JOHN BRUCE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2322 E 22ND ST, CLEVELAND, OH 44115-3176
(216) 363-2504
(216) 241-5660
Mailing address
2322 E 22ND ST, CLEVELAND, OH 44115-3176
(216) 363-2504
(216) 241-5660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35.036671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284919
—
OH
Enumeration date
07/31/2006
Last updated
07/08/2007
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