MEDICARE: DR. RONALD CLEMENS MARSHALL PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6301005055	MI

General Provider Information

NPI Number	:	1053478800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD CLEMENS MARSHALL PHD

Provider Business Mailing Address
First Line	:	2810 CHARLEVOIX AVE
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-8421
Country	:	US
Telephone Number	:	231-348-0800
Fax Number	:	231-348-0800

Provider Business Practice Location Address
First Line	:	2810 CHARLEVOIX AVE
Second Line	:
City	:	PETOSKEY
State	:	MI
Zip	:	49770-8421
Country	:	US
Telephone Number	:	231-348-0800
Fax Number	:	231-348-0800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396604278 — ANNA COLLINS LMSW
Practice Location Address:

2810 CHARLEVOIX RD STE 102
PETOSKEY, MI
49770-8421

Practice Phone: 231-340-9113
Practice Fax: 231-642-9116

1225095193 — ELIZABETH MCCORMACK LMSW
Practice Location Address:

2810 CHARLEVOIX RD STE 102
PETOSKEY, MI
49770-8421

Practice Phone: 231-340-9113
Practice Fax: 231-642-9116

1346337003 — DENISE DAVIDSON MEEKS C.N.M.
Practice Location Address:

2810 CHARLEVOIX AVE
PETOSKEY, MI
49770-8421

Practice Phone: 231-487-0970
Practice Fax: 231-487-0979

1013004373 — CLARE B HEIDTKE M.D.
Practice Location Address:

2810 CHARLEVOIX AVE , SUITE 104
PETOSKEY, MI
49770-8421

Practice Phone: 231-487-0970
Practice Fax: 231-487-0979

1033265756 — DR. STEVEN REPPUHN PH.D.
Practice Location Address:

2810 CHARLEVOIX AVE STE 102 , ARROWHEAD COMMONS
PETOSKEY, MI
49770-8421

Practice Phone: 231-347-6542
Practice Fax: 231-348-0800

1568659126 — DR. REBECCA ROTH PH.D.
Practice Location Address:

2810 CHARLEVOIX RD STE 102
PETOSKEY, MI
49770-8421

Practice Phone: 231-340-9113
Practice Fax: 231-642-9116

Directions to “ DR. RONALD CLEMENS MARSHALL PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.