Healthcare Provider Details
I. General information
NPI: 1598329526
Provider Name (Legal Business Name): MARCH MEDICAL ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2019
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2252 N MONROE ST
MONROE MI
48162-4254
US
IV. Provider business mailing address
2252 N MONROE ST
MONROE MI
48162-4254
US
V. Phone/Fax
- Phone: 734-682-5434
- Fax:
- Phone: 734-682-5434
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIMBERLY
PIETSZAK
Title or Position: MANAGER
Credential:
Phone: 734-682-5434