Mariann M Channell, MD

NPI #1225030596 in St Clair Shores, Michigan

Provider Information

NPI Number: 1225030596
Entity Type: Individual
Name: Mariann M Channell, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jun 1, 2005
Last Updated: Jun 3, 2008

Practice Location

Address: 21711 GREATER MACK AVE
City: St Clair Shores
State: Michigan
ZIP Code: 48080-2418
Phone: (586) 774-0393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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