Medley, Marshall Kevin

Medley, Marshall Kevin is an sole proprietor health care provider with primary practice located at 35600 Central City Pkwy Suite 101, Westland MI 48185-2046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Medley, Marshall Kevin can be contacted via phone (734) 421-1000.

Contact Information

Primary practice address
35600 Central City Pkwy Suite 101 Westland MI 48185-2046
Phone: (734) 421-1000
Fax: (734) 421-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 5101013769 Michigan

Profile Details

NPI number 1225138340
LBN Legal business name Medley, Marshall Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Nov 17th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225138340 NPPES
Michigan Other 141412 CARE CHOICES
Michigan MEDICAID 4774341 CARE CHOICES
Michigan Other 0007367710 CARE CHOICES
Michigan Other 5821256 CARE CHOICES
Michigan Other U92085 CARE CHOICES
Michigan Other 000000012192 CARE CHOICES
Michigan Other 17178 CARE CHOICES
Michigan Other P36227-F CARE CHOICES

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