Individual
DR. MARSHALL CHRISTIAN RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM, RN
Contact information
Practice address
9251 LAKE ST, ELLSWORTH, MI 49729-9665
(231) 588-2190
Mailing address
PO BOX 123, ELLSWORTH, MI 49729-0123
(231) 588-2190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704206440
MI
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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