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NPI Code Detail

MEDICARE: GERALD BRUCE MARSHALL

MEDICARE: GERALD BRUCE MARSHALL
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
11041C0700XClinical Social Worker6801066461MI

General Provider Information

NPI Number : 1891868600
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD BRUCE MARSHALL
Provider Business Mailing Address
First Line : 28119 GRAND DUKE DR
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5218
Country : US
Telephone Number : 248-476-2229
Fax Number : 248-476-4434
Provider Business Practice Location Address
First Line : 28119 GRAND DUKE DR
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5218
Country : US
Telephone Number : 248-476-2229
Fax Number : 248-476-4434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1528168176 — MR. BARNEY BROWNER JR. LMSW, MSW
Practice Location Address:
28119 GRAND DUKE DR
FARMINGTON HILLS, MI
48334-5218
Practice Phone: 248-476-2229
Practice Fax: 248-476-4434
1801974183 — MS. VALERIE R. WHITE MSW, LMSW
Practice Location Address:
28119 GRAND DUKE DR
FARMINGTON HILLS, MI
48334-5218
Practice Phone: 248-476-2229
Practice Fax: 248-476-4434
1396823688 — MR. DANIEL HAMPTON III MSW, LMSW
Practice Location Address:
28119 GRAND DUKE DR
FARMINGTON HILLS, MI
48334-5218
Practice Phone: 248-476-2229
Practice Fax: 248-476-4434
1881767697 — BERNADETTE WIXSON
Practice Location Address:
28119 GRAND DUKE DR
FARMINGTON HILLS, MI
48334-5218
Practice Phone: 248-476-2229
Practice Fax:
1669695813 — MS. MARY GARY-FOUST LMSW, MSW
Practice Location Address:
28119 GRAND DUKE DR
FARMINGTON HILLS, MI
48334-5218
Practice Phone: 248-476-2229
Practice Fax: 248-476-4434
1881872604 — ROBERT HAROLD JOHNSON LMSW, MSW
Practice Location Address:
28119 GRAND DUKE DR
FARMINGTON HILLS, MI
48334-5218
Practice Phone: 248-476-2229
Practice Fax: 248-476-4434

Directions to “ GERALD BRUCE MARSHALL ” Practice Location

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