| Mary Marshall, Md, Pc | |
|
8195 S Saginaw St Grand Blanc MI 48439-1885 | |
| (810) 695-2210 | |
| (810) 695-9530 |
| Full Name | Mary Marshall, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8195 S Saginaw St, Grand Blanc, Michigan |
| Authorized Official Name and Position | Mary Christine Marshall (OWNER/PRESIDENT) |
| Authorized Official Contact | 8106952210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Marshall, Md, Pc 8195 S Saginaw St Grand Blanc MI 48439-1885 Ph: (810) 695-2210 | Mary Marshall, Md, Pc 8195 S Saginaw St Grand Blanc MI 48439-1885 Ph: (810) 695-2210 |
| NPI Number | 1558451724 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/10/2011 |
| Medicare PECOS PAC ID | 8224021779 |
|---|---|
| Medicare Enrollment ID | O20040408000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558451724 | NPI | - | NPPES |
| 0988828 | Other | MI | HEALTHPLUS PROV # |
| 131834 | Other | MI | PREFERRED CHOICES # |
| P11144157 | Other | MI | HAP PROV # |
| P11144157 | Other | MI | MULTIPLAN PROV # |
| 080162382 | Other | MI | RAILROAD MR PROV # |
| 0802505112 | Other | MI | BCBS PROV # |
| 104238722 | Medicaid | MI | |
| C7218 | Other | MI | MCARE PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MM070680 (Michigan) | Primary |
| Provider Name | Mary C Marshall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245320589 PECOS PAC ID: 7113910670 Enrollment ID: I20040412000015 |
| Provider Name | Nicole Rye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487211165 PECOS PAC ID: 0749511780 Enrollment ID: I20230208002849 |
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