Provider Demographics
NPI:1427002484
Name:DUNN, MARC M (MD)
Entity Type:Individual
Prefix:
First Name:MARC
Middle Name:M
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30701 WOODWARD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-0990
Mailing Address - Country:US
Mailing Address - Phone:248-548-2114
Mailing Address - Fax:248-548-2135
Practice Address - Street 1:26657 WOODWARD AVE
Practice Address - Street 2:STE 100
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1300
Practice Address - Country:US
Practice Address - Phone:248-548-2114
Practice Address - Fax:248-548-2135
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2023-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301040406207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI437086010Medicaid
MID15260Medicare UPIN
MION41180Medicare ID - Type Unspecified