Organization
MARATHON HEALTH LLC
Active
Parent organization
MARATHON HEALTH LLC
Other names
Fabri Kal and Schupan Health Center, Fabrikal Schupan Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH LLC
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
3520 COVINGTON RD, KALAMAZOO, MI 49001
(802) 857-0400
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0434
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/16/2018
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