Organization
MARQUETTE GENERAL HOSPITAL
Active
Other names
Upper Peninsula Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG D CHARTIER (DIRECTOR OF HOME HEALTH)
(906) 225-4718
Entity
Organization
Contact information
Practice address
117 N 22ND ST, ESCANABA, MI 49829-2316
(906) 225-4718
(906) 225-4621
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-4718
(906) 225-4621
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E21082
BLUE CROSS BLUE SHIELD OF MICHIGAN
—
Enumeration date
05/24/2007
Last updated
12/07/2011
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