Organization
DR.KEITH N MARSHALL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH N MARSHALL D.O (CEO)
(586) 558-9360
Entity
Organization
Contact information
Practice address
3272 E 12 MILE RD, SUITE 102, WARREN, MI 48092-5622
(586) 558-9360
(586) 573-3130
Mailing address
3272 E 12 MILE RD, SUITE 102, WARREN, MI 48092-5622
(586) 558-9360
(586) 573-3130
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101007974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4508283
—
MI
Enumeration date
02/12/2007
Last updated
12/05/2012
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