Organization
KELLEY MAHAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY ANNE MAHAR M.D. (DIRECTOR)
(906) 228-9100
Entity
Organization
Contact information
Practice address
109 S FRONT ST, SUITE 210, MARQUETTE, MI 49855-4645
(906) 228-9100
(906) 228-2723
Mailing address
109 S FRONT ST, SUITE 210, MARQUETTE, MI 49855-4645
(906) 228-9100
(906) 228-2723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801066478
MI
2084P0800X
Psychiatry Physician
Primary
4301073735
MI
Other
Enumeration date
08/11/2009
Last updated
10/05/2009
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