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Individual

MR. BRIAN W MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
863 W AURORA RD, SAGAMORE HILLS ED, SAGAMORE HILLS, OH 44067-1603
(330) 468-0190
(330) 467-2283
Mailing address
4916 WESTMINSTER LN, BROADVIEW HEIGHTS, OH 44147-2069
(440) 526-9876
(440) 526-9876

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34006119
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2528152
OH
Enumeration date
12/16/2005
Last updated
07/08/2007
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