Dr Marshall Christian Randall, DVM, RN is a
Registered Nurse based in Ellsworth, Michigan. Dr Marshall Christian Randall is licensed to practice in Michigan (license number 4704206440) and his current practice location is
9251 Lake St, Ellsworth, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 588-2190.
NPI number for Dr Marshall Christian Randall is 1851132914 and his current mailing address is Po Box 123, Ellsworth, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851132914.
Provider's Profile
Full Name | Dr Marshall Christian Randall |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 9251 Lake St, Ellsworth, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851132914
- Provider Enumeration Date: 06/03/2024
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Dr Marshall Christian Randall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851132914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704206440 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marshall Christian Randall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Marshall Christian Randall, DVM, RN Po Box 123, Ellsworth, MI 49729-0123 Ph: (231) 588-2190 | Dr Marshall Christian Randall, DVM, RN 9251 Lake St, Ellsworth, MI 49729-9665 Ph: (231) 588-2190 |
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