Individual
DR. MARVIN EARL MCELROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1064 W WEST BRANCH RD, PRUDENVILLE, MI 48651
(989) 366-4800
(989) 366-4832
Mailing address
1064 W WEST BRANCH RD, PO BOX 268, PRUDENVILLE, MI 48651
(989) 366-4800
(989) 366-4832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301403219
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072988
BLUE CROSS
MI
05
—
2934910
—
MI
Enumeration date
01/24/2006
Last updated
10/22/2010
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