Organization
GENERAL AND INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN MCELROY (OWNER)
(989) 366-4800
Entity
Organization
Contact information
Practice address
1064 W WEST BRANCH RD, PRUDENVILLE, MI 48651-9468
(989) 366-4800
Mailing address
PO BOX 268, PRUDENVILLE, MI 48651-0268
(989) 366-4800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4301403219
MI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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