Organization Active NPI

Marie-Claire Maroun M.D. PC

  • Internal Medicine Physician
  • Saint Clair Shores, MI
National Provider Identifier
1336377159
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080994 Issued in MI
Legal business name
MARIE-CLAIRE MAROUN M.D. PC
Practice address
25631 Little Mack Ave
Saint Clair Shores, MI 48081-2100
Phone
(586) 473-6100
NPI assigned
Jul 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marie-Claire Youssef Maroun, M.D.
Title
Owner/President
Phone
(313) 525-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301080994 MI Primary

Addresses

Primary practice location

25631 Little Mack Ave
Saint Clair Shores, MI 48081-2100

Mailing address

326 Moran Rd
Grosse Pointe Farms, MI 48236-3435
Phone (313) 642-0625

Other identifiers 1

IdentifierTypeStateIssuer
4301080994OtherMISTATE LICENSE

National Provider Directory

National Provider Directory

Locations

18263 E 10 Mile Rd
Ste D
Roseville, MI 48066
Phone (586) 238-2059

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336377159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MORAN RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363435",
            "telephone_number": "313-642-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25631 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480812100",
            "telephone_number": "586-473-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE-CLAIRE MAROUN M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MAROUN",
        "authorized_official_first_name": "MARIE-CLAIRE",
        "authorized_official_middle_name": "YOUSSEF",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "313-525-0626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301080994",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.