Individual
MARIAN G JORDISON BOXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR CANCER RECP B, ANN ARBOR, MI 48109-5911
(734) 936-6000
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301045572
MI
207RH0000X
Hematology (Internal Medicine) Physician
4301045572
MI
207RH0003X
Hematology & Oncology Physician
MB045572
MI
2085R0001X
Radiation Oncology Physician
4301045572
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4618051
—
MI
Enumeration date
03/08/2006
Last updated
08/29/2008
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