Marilynn R. Fairfax MD
Clinical Pathology Physician in Detroit, MI(View on Map)
Full Name
Marilynn Ransom Fairfax MD
NPI Number
1962440081
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/02/2006
Specialties
(Taxonomies)Code
207ZC0006X
207ZM0300X
Primary Taxonomy
Yes
No
Licenses
State
Michigan
License Number
4301058560
Contact
Information
Purpose
Mailing
Location
Address
1560 E MAPLE RD
4201 ST ANTOINE
City
Troy
Detroit
State
MI
MI
Postal Code
48083-1189
48201-2153
Country
US
US
Telephone Number
(248) 581-5974
(313) 745-4188
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/20/2015
Provider Address
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