NPI 1003079039
Mary Marshall, FAODP
Practice location
- Address
- 91 Glendale St, Highland Park, MI 48203-3274
- Phone
- (313) 263-0077
- Fax
- (313) 883-0442
Registered specialties
Counselor
Primary
Registry record
- NPI
- 1003079039
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Jul 2008
- Record last updated
- 9 Jul 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.