Individual
MICHAEL MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209021494
IL
363LA2100X
Acute Care Nurse Practitioner
4704251455
MI
Other
Enumeration date
02/27/2017
Last updated
11/27/2023
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