Individual
JESSIE K MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP B, ANN ARBOR, MI 48109-5352
(734) 936-5582
(734) 615-6131
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230213
MA
207R00000X
Internal Medicine Physician
Primary
4301076856
MI
208000000X
Pediatrics Physician
4301076856
MI
Other
Enumeration date
09/13/2006
Last updated
10/31/2014
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