Healthcare Provider Details

I. General information

NPI: 1205762135
Provider Name (Legal Business Name): FORUM MEDICAL HOSPITAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43184 DEQUINDRE RD STE 202
STERLING HEIGHTS MI
48314-1709
US

IV. Provider business mailing address

43184 DEQUINDRE RD STE 202
STERLING HEIGHTS MI
48314-1709
US

V. Phone/Fax

Practice location:
  • Phone: 586-580-0280
  • Fax: 586-580-0281
Mailing address:
  • Phone: 586-580-0280
  • Fax: 586-580-0281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NICOLAS A MARSHEH
Title or Position: PHYSICIAN/OWNER
Credential: MD
Phone: 586-580-0282