| Doctor Name: | KATHERINE MARY MARSTON |
| NPI Number: | 1013273960 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5101019867 |
| Business Practice Address: | 32901 23 Mile Road Suite 100 Chesterfield, MI - 480474032 |
| Business Phone Number: | 5867258500 |
| Business Fax Number: | 5867255311 |
| Mailing Address: | 32901 23 Mile Road Suite 100, CHESTERFIELD |
| State: | MI |
| Postal Code: | 480474032 |
| Phone Number: | 5867258500 |
| Fax Number: | 5867255311 |
| NPI Enumeration Date: | 04/04/2012 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 193400000X |
| License Number: | 5101019867 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Group |
| Taxonomy Classification: | Single Specialty |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |