Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL MARCILIS II
Active Sole ProprietorMR. RUSSELL MARCILIS II is a Prosthetic/Orthotic Supplier healthcare provider located in EASTPOINTE, Michigan. NPI 1780050369 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · EASTPOINTE, MI
Registration Details
- NPI Number
- 1780050369
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2015 (10.800280787353 yrs)
- Last Updated
- Jan 4, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
18121 E. 8 MILE STE 100EASTPOINTE, MI, 48021Browse MI providers · Browse ZIP 48021
- Phone
- 5865851446
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.