Individual
MARCIA THAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2012 MONROE ST, SUITE 207, DEARBORN, MI 48124-2938
(313) 278-5836
Mailing address
22107 ANN ARBOR TRL, DEARBORN HEIGHTS, MI 48127-2501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704269977
MI
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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