Individual
MR. JAMES WILLIAM MARSHALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
704 PETOSKEY ST, PETOSKEY, MI 49770-2793
(231) 439-3900
Mailing address
704 PETOSKEY ST, PETOSKEY, MI 49770-2793
(231) 439-3900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301007019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0891677
BLUE CROSS
MI
Enumeration date
10/21/2008
Last updated
10/24/2008
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