Individual
MRS. MARTY ZHI JANAS MARANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-9782
(313) 916-7354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007038
MI
363AS0400X
Surgical Physician Assistant
5601007038
MI
Other
Enumeration date
06/23/2014
Last updated
03/09/2021
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