Individual
MS. TINA M MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704201827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED
—
MI
Enumeration date
09/23/2009
Last updated
09/23/2009
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