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Organization

MARVIC HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR D HARRELL PA-C, LMSW (PHYSICIAN ASSISTANT & SOCIAL WORKER)
(586) 457-6716
Entity
Organization

Contact information

Practice address
6001 W OUTER DR STE 207, DETROIT, MI 48235-2626
(586) 457-6716
Mailing address
17566 SANTA ROSA DR, DETROIT, MI 48221-2645
(586) 457-6716
(313) 474-9904

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/08/2024
Last updated
01/08/2024
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