Individual
DR. PAUL ERNEST MARCUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
18223 E 10 MILE RD STE 300, ROSEVILLE, MI 48066-5821
(586) 775-0520
(586) 775-2670
Mailing address
18223 E 10 MILE RD STE 300, ROSEVILLE, MI 48066-5821
(586) 775-0520
(586) 775-2670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901015934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002091
FORTIS ID NUMBER
MI
01
—
001371874
UNITED CONCORDIA ID #
MI
01
—
053109
FIRST COMMONWEATH ID #
MI
05
—
3375692
—
MA
Enumeration date
09/27/2006
Last updated
04/01/2019
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