Organization
COUNTY OF MARQUETTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED J BENZIE (HEALTH OFFICER)
(906) 315-2640
Entity
Organization
Contact information
Practice address
184 US HIGHWAY 41 E, NEGAUNEE, MI 49866-9606
(906) 475-9977
(906) 475-9312
Mailing address
184 US HIGHWAY 41 E, NEGAUNEE, MI 49866-9606
(906) 475-9977
(906) 475-9312
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-0E2-10840
BCBSMEDICAL PROVIDER
MI
05
—
235100662
—
MI
05
—
772671990
—
MI
05
—
775325081
—
MI
05
—
775325107
—
MI
Enumeration date
10/02/2006
Last updated
07/14/2009
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