Organization
MARQUTTE GENERA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L WARDEN SR. (VP/CFO)
(906) 228-9440
Entity
Organization
Contact information
Practice address
3139 REVERE DR, SAGINAW, MI 48603-1642
(989) 332-6020
(989) 791-2007
Mailing address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 225-3595
(877) 775-5759
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704247120
MI
Other
Enumeration date
01/20/2011
Last updated
01/25/2011
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