Organization
MARLETTE REGIONAL HOSPITAL
Active
Other names
Marlette Regional Hospital CRNA Group
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GUY BABCOCK (CEO)
(989) 635-4002
Entity
Organization
Contact information
Practice address
2770 MAIN ST, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4056
Mailing address
2770 MAIN ST, PO BOX 307, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4056
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994757
HEALTHPLUS
MI
01
—
0G676020
BLUE CROSS/SHIELD
MI
Enumeration date
10/26/2006
Last updated
12/18/2012
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