Organization
MARQUETTE GENERAL HOSPITAL,INC.
Active
Other names
EMERGENCY MEDICINE ASSOCIATES OF MARQUETTE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. A. GARY MULLER (CHIEF EXECUTIVE OFFICER)
(906) 225-4821
Entity
Organization
Contact information
Practice address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 225-4854
(906) 225-3370
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E26003
BCBCM GROUP
MI
01
—
CA7435
RAILROAD MEDICARE
MI
01
—
CE1809
RAILROAD MEDICARE
MI
01
—
G31351
RAILROAD MEDICARE
MI
Enumeration date
04/27/2006
Last updated
04/23/2009
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