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LEE MARSHALL DO PC NPI 1528124161


NPI Information

NPI: 1528124161
Provider Name: LEE MARSHALL DO PC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
29829 TELEGRAPH RD
SUITE 202
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 208-9411
Get Directions

LEE MARSHALL DO PC is a neurology psychiatry neurology in Southfield, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. LEE MARSHALL DO PC NPI is 1528124161. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29829 TELEGRAPH RD
SUITE 202
SOUTHFIELD, MI
ZIP 48034-330
Phone: (248) 208-9411
Fax: (248) 208-9417

The provider's authorized official is Lee Bruce Marshall .
The authorized official title is Physician Neurologist President and has the following contact phone number (248) 208-9411.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 9/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyLM010950MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11356310544OTHERMICHIGANBCBS
2ON94780MEDICARE ID-TYPE UNSPECIFIED
3G14560MEDICARE UPIN
4P00141408OTHERMICHIGANPALMETTO
5114567651MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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