Marvin John Theile C.T.R.S.

NPI 1689835126 - Recreation Therapist - 225800000X

NPI Details
NPI 1689835126
Gender Male
Enumeration Date 06/18/2008
Last Updated 06/18/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4646 JOHN R ST
DETROIT MI, 48201-1916, US
Phone (313) 576-1000
Fax (313) 576-1246
Business Location
4646 JOHN R ST
DETROIT MI, 48201-1916, US
Phone (313) 576-1000
Fax (313) 576-1246
Toxanomy
Taxonomy Code 225800000X
License State Michigan
License Number 24322
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According to our database, Mr. Marvin John Theile C.T.R.S. NPI is 1689835126, taxonomy code is 225800000X and license number is 24322, license state is located at Michigan. Marvin John Theile C.T.R.S. physically located at 4646 John R St, Detroit MI, 48201-1916. NPI Number Marvin John Theile C.T.R.S. has the Individual type.

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1689835126 NPI number is provided on an as is basis without warranty of any kind. 1689835126 is maintained by the National Plan & Provider Enumeration System. The contents of Marvin John Theile C.T.R.S. are for informational purposes only.