Healthcare Provider Details

I. General information

NPI: 1588833040
Provider Name (Legal Business Name): MARVIN L. STARMAN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31805 MIDDLEBELT RD 307
FARMINGTON HILLS MI
48334-2367
US

IV. Provider business mailing address

31805 MIDDLEBELT RD 307
FARMINGTON HILLS MI
48334-2367
US

V. Phone/Fax

Practice location:
  • Phone: 244-885-1325
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name: DR. MARVIN L. STARMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 248-851-3253