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Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
UP Hematology Oncology Associates
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 332, MARQUETTE, MI 49855-2675
(906) 225-3922
(906) 225-4527
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-3922
(906) 225-4527
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
NULL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
NULL
207ZH0000X
Hematology (Pathology) Physician
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
4704207327
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704207327
MI
Other
Enumeration date
04/27/2006
Last updated
01/26/2010
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