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Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Marquette General Urology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. GARY MULLER (CHIEF EXECUTIVE OFFICER)
(906) 225-4821
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 249, MARQUETTE, MI 49855-2675
(906) 225-3893
(906) 225-4893
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E21094
BCBSM
MI
Enumeration date
09/13/2007
Last updated
04/23/2009
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