Organization
FORUM MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLAS A MARSHEH IV M.D. (OWNER/OPERATOR)
(586) 580-0280
Entity
Organization
Contact information
Practice address
43184 DEQUINDRE RD STE 202, STERLING HEIGHTS, MI 48314-1709
(586) 580-0280
(586) 580-0281
Mailing address
43184 DEQUINDRE RD STE 202, STERLING HEIGHTS, MI 48314-1709
(586) 580-0280
(586) 580-0281
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NM 069838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E00984
BCBS
MI
01
—
1106348002
BCBSM
MI
05
—
4732824
—
MI
Enumeration date
07/03/2006
Last updated
03/07/2023
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