Provider Demographics
NPI:1346228566
Name:MARCARIAN, GREGORY HERONT (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:HERONT
Last Name:MARCARIAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8550 N SILVERY LN
Mailing Address - Street 2:STE. B200
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-4510
Mailing Address - Country:US
Mailing Address - Phone:313-563-2288
Mailing Address - Fax:313-561-7065
Practice Address - Street 1:8550 N SILVERY LN
Practice Address - Street 2:STE. B200
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-4510
Practice Address - Country:US
Practice Address - Phone:313-563-2288
Practice Address - Fax:313-561-7065
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI073156207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine