person
Dr. Basil John Marrella, DO
General Practice Physician in Madison Heights, Michigan
NPI 1407833270

Basil John Marrella is a General Practice Physician based in Madison Heights, MI. Basil John Marrella practices in Madison Heights, MI and has the professional credentials of DO. The NPI Number for Basil John Marrella is 1407833270 and holds a License No. 5101006788 (Michigan).

The current practice location address for Basil John Marrella is 30855 John R Rd, Madison Heights, MI and can be reached out via phone at 248-583-0100 and via fax at 248-583-4894.

Location: 30855 John R Rd, Madison Heights, MI, 48071-5213
person
Provider Profile Details
NPI Number
1407833270
Provider Name
Basil John Marrella
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
30855 John R Rd, Madison Heights, MI, 48071-5213
Phone Number
248-583-0100
Fax Number
248-583-4894
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114788740 05 MI
institution
Provider Business Practice Location Address Details
Address
30855 John R Rd
City
State
Zip
48071-5213
Phone Number
248-583-0100
Fax Number
248-583-4894
person
Provider Business Mailing Address Details
Address
30855 John R Rd
City
State
Zip
48071-5213
Phone Number
248-583-0100
Fax Number
248-583-4894
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5101006788 (Michigan)
Definition
Definition to come...
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