Active NPI
Marie-Claire Maroun M.D. PC
- Internal Medicine Physician
- Saint Clair Shores, MI
National Provider Identifier
1336377159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301080994
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301080994 | Other | MI | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.