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Organization

MARATHON HEALTH, LLC

Active
Parent organization
MARATHON HEALTH, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARATHON HEALTH, LLC
Authorized official
MS. TRACY LORD (DESIGNATED OFFICIAL)
(802) 857-0420
Entity
Organization

Contact information

Practice address
15745 S AIRPORT RD BLDG D, BATTLE CREEK, MI 49015-8670
(269) 565-3640
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0420

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/27/2019
Last updated
08/27/2019
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