Provider Demographics
NPI:1699296012
Name:MARSHALL, EARL MAC JR (MD)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:MAC
Last Name:MARSHALL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1086 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3193
Mailing Address - Country:US
Mailing Address - Phone:734-244-5380
Mailing Address - Fax:734-244-5795
Practice Address - Street 1:1086 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3193
Practice Address - Country:US
Practice Address - Phone:734-244-5380
Practice Address - Fax:734-244-5795
Is Sole Proprietor?:No
Enumeration Date:2017-07-06
Last Update Date:2020-08-18
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Provider Licenses
StateLicense IDTaxonomies
MI4301500770207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine