Organization
MICHAEL K CONLEY M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K CONLEY M.D.,P.C. MD (PRESIDENT)
(906) 225-4480
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 247, MARQUETTE, MI 49855-2675
(906) 225-4480
(906) 225-4483
Mailing address
1414 W FAIR AVE, SUITE 247, MARQUETTE, MI 49855-2675
(906) 225-4480
(906) 225-4483
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MC039019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0520001
BLUE CROSS BLUE SHIELD
MI
05
—
3493963
—
MI
Enumeration date
11/13/2007
Last updated
11/13/2007
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