Organization
JJDM MANAGEMENT OF MARQUETTE
Active
Other names
Primo Health & Wellness, Primo Online Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE LEE PREMEAU NP (MANAGING MEMBER)
(906) 250-5051
Entity
Organization
Contact information
Practice address
712 CHIPPEWA SQ STE 100, MARQUETTE, MI 49855-4825
(906) 205-4425
Mailing address
771 BLEMHUBER AVE, MARQUETTE, MI 49855-4828
(906) 250-5051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
04/26/2023
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