| Doctor Name: | MARSHA E BODUS |
| NPI Number: | 1538414776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 4704262370 |
| Business Practice Address: | 201 Route 34 South Bldg C-3 Colts Neck, NJ - 07722 |
| Business Phone Number: | 7328662303 |
| Business Fax Number: | |
| Mailing Address: | 15771 Green Rd, LACHINE |
| State: | MI |
| Postal Code: | 497539799 |
| Phone Number: | 9892780641 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2012 |
| NPI Last Update Date: | 07/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | 4704262370 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |