Organization
MARLETTE REGIONAL HOSPITAL
Active
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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