Provider Demographics
NPI:1811013865
Name:MARSHICK, JEFF (DO)
Entity Type:Individual
Prefix:DR
First Name:JEFF
Middle Name:
Last Name:MARSHICK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5701 BOW POINTE DR STE 365
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-5403
Mailing Address - Country:US
Mailing Address - Phone:248-922-9283
Mailing Address - Fax:248-922-9286
Practice Address - Street 1:5701 BOW POINTE DR STE 365
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-5403
Practice Address - Country:US
Practice Address - Phone:248-922-9283
Practice Address - Fax:248-922-9286
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2020-02-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015601207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease