Dr. Douglas Lawrence Marsh
Family Doctor - Addiction Medicine
18590 Allen Rd
Melvindale
, Michigan 48122-1516
Dr. Douglas Lawrence Marsh
Family Doctor - Addiction Medicine
18590 Allen Rd
Melvindale
, Michigan 48122-1516
(313) 928-2215
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Douglas Lawrence Marsh
- 18590 Allen Rd
- Melvindale, MI
- Zip : 48122-1516
- Fax : (313) 928-2215
- Phone : (313) 928-5000
Second Address
- Dr. Douglas Lawrence Marsh
- 18590 Allen Rd
- Melvindale, MI
- Zip : 48122-1516
- Fax : (313) 928-2215
- Phone : (313) 928-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 5101007923 | MI |
National Provider Identifier
| NPI | 1790745966 |
|---|---|
| Provider Name | Dr. Douglas Lawrence Marsh |
| First Address | Melvindale, MI 48122-1516 |
| Second Address | Melvindale, MI 48122-1516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 10/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5101007923 | STATE LICENSE (01) | MI |
| A78355 | (02) | MI |
| AM1081025 | DEA (01) | MI |
| XM1081025 | DEA (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.