Organization
MEDIRIDE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GUIZZETTI (PRESIDENT/CEO)
(906) 226-4565
Entity
Organization
Contact information
Practice address
701 N 4TH ST, MARQUETTE, MI 49855-3406
(906) 226-4565
Mailing address
PO BOX 987, MARQUETTE, MI 49855-0987
(906) 226-4565
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
521002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00083572
RAILROAD MEDICARE
MI
Enumeration date
02/02/2006
Last updated
08/02/2007
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