Provider Demographics
NPI:1285136432
Name:MARCY M MURRELL PLC
Entity type:Organization
Organization Name:MARCY M MURRELL PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:313-410-8963
Mailing Address - Street 1:39433 NORTHWIND CT
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-3932
Mailing Address - Country:US
Mailing Address - Phone:313-410-8963
Mailing Address - Fax:
Practice Address - Street 1:39433 NORTHWIND CT
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-3932
Practice Address - Country:US
Practice Address - Phone:313-410-8963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental