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Individual

DR. MARSHALL DAVID MALDAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
6515 HIGHLAND RD STE 100, WATERFORD, MI 48327-1669
(248) 674-3382
Mailing address
6515 HIGHLAND RD STE 100, WATERFORD, MI 48327-1669
(248) 674-3382

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301006412
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120497
VALUE OPTIONS
MI
01
OF33053
BCBSM
MI
Enumeration date
10/14/2006
Last updated
07/16/2025
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