Individual
MARIEL DUCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8144
(313) 916-4460
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(800) 653-6568
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301517932
MI
207R00000X
Internal Medicine Physician
Primary
MD61670702
WA
207RC0000X
Cardiovascular Disease Physician
MD61670702
WA
208M00000X
Hospitalist Physician
4301517932
MI
Other
Enumeration date
03/22/2022
Last updated
06/08/2026
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