MR. RUSSELL MARCILIS II

Prosthetic/Orthotic Supplier

Active Individual
NPI: 1780050369

Practice Address

18121 E. 8 MILE STE 100
Eastpointe, MI 48021

Phone: (586) 585-1446

Specialties

Specialty Code Primary License
Prosthetic/Orthotic Supplier 335E00000X Yes -

Frequently Asked Questions

NPI 1780050369 is the National Provider Identifier for MR. RUSSELL MARCILIS II, a Prosthetic/Orthotic Supplier provider located in Eastpointe, MI. This NPI was enumerated on August 18, 2015.
MR. RUSSELL MARCILIS II practices at 18121 E. 8 MILE STE 100, Eastpointe, MI 48021.

Quick Facts

NPI
1780050369
Type
Individual
Enumerated
Aug 18, 2015
Last Updated
Jan 4, 2016

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