Individual
MARCELLUS POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
Mailing address
1852 W GRAND BLVD, DETROIT, MI 48208-1006
(313) 894-8444
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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