# DLP MARQUETTE PHYSICIAN PRACTICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DLP MARQUETTE PHYSICIAN PRACTICES INC
- **Other names:** MARQUETTE GENERAL SPORTS MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922354620
- **Legal business name:** DLP MARQUETTE PHYSICIAN PRACTICES INC
- **Authorized official:** JESS N JUDY (PRESIDENT)
- **Authorized official phone:** (615) 372-8500

## Contact information

- **Practice address:** 1414 W FAIR AVE, STE 190, MARQUETTE, MI 49855-2675
- **Practice address phone:** (906) 225-1321
- **Practice address fax:** (906) 225-9371
- **Mailing address:** 1414 W FAIR AVE, STE 190, MARQUETTE, MI 49855-2675
- **Mailing address phone:** (906) 225-1321
- **Mailing address fax:** (906) 225-9371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2012
- **Last updated:** 07/31/2012