| Lee Marshall Do Pc | |
|
29829 Telegraph Rd Suite 202 Southfield MI 48034-1330 | |
| (248) 208-9411 | |
| (248) 208-9417 |
| Full Name | Lee Marshall Do Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 29829 Telegraph Rd, Southfield, Michigan |
| Authorized Official Name and Position | Lee Bruce Marshall (PHYSICIAN NEUROLOGIST PRESIDENT) |
| Authorized Official Contact | 2482089411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Marshall Do Pc 29829 Telegraph Rd Suite 202 Southfield MI 48034-1330 Ph: (248) 208-9411 | Lee Marshall Do Pc 29829 Telegraph Rd Suite 202 Southfield MI 48034-1330 Ph: (248) 208-9411 |
| NPI Number | 1528124161 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528124161 | NPI | - | NPPES |
| 114567651 | Medicaid | MI | |
| 1356310544 | Other | MI | BCBS |
| P00141408 | Other | MI | PALMETTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | LM010950 (Michigan) | Primary |
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