Organization
PERE MARQUETTE EMERGENCY PHYSICIANS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE S CRANICK-KUSTER DO (BUSINESS MANAGER)
(231) 845-2390
Entity
Organization
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(231) 845-2390
(231) 845-2240
Mailing address
PO BOX 8309, FOUNTAIN VALLEY, CA 92728-8309
(800) 811-6964
(562) 468-0347
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700E310200
BCBS
MI
01
—
DD8294
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
09/28/2012
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