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NPI Code Detail

MEDICARE: DR. THOMAS S MARSHALL DDS, MS

MEDICARE: DR. THOMAS S MARSHALL DDS, MS
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
11223P0700XProsthodontics2901012338MI

General Provider Information

NPI Number : 1952388514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS S MARSHALL DDS, MS
Provider Business Mailing Address
First Line : 1011 N UNIVERSITY AVE
Second Line :
City : ANN ARBOR
State : MI
Zip : 48109-1078
Country : US
Telephone Number : 734-764-1558
Fax Number : 734-647-4024
Provider Business Practice Location Address
First Line : 1011 N UNIVERSITY AVE
Second Line :
City : ANN ARBOR
State : MI
Zip : 48109-1078
Country : US
Telephone Number : 734-764-1558
Fax Number : 734-647-4024
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2005
Last Update Date : 09/23/2008

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