Individual
JOSEPH J MAROUS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301056368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4661876100
—
MI
01
—
P00157198
RR MEDICARE
MI
Enumeration date
08/12/2006
Last updated
11/02/2012
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