Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Family Care Doctors
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
1414 W FAIR AVE, SUITE 36, MARQUETTE, MI 49855-2675
(906) 225-3864
(906) 225-3851
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-3864
(906) 225-3851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
030113
MI
2080P0205X
Pediatric Endocrinology Physician
050876
MI
208100000X
Physical Medicine & Rehabilitation Physician
079600
MI
363A00000X
Physician Assistant
5601004570
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E26000
BCBSM GROUP
MI
01
—
0E26000P02
PA IN MEDICARE GROUP
MI
01
—
0N8996004
PA MEDICARE NUMBER
MI
01
—
C31351
RAILROAD MEDICARE
MI
01
—
CA1145
RAILROAD MEDICARE
MI
01
—
CA7435
RAILROAD MEDICARE
MI
01
—
CI0319
RAILROAD MEDICARE
MI
01
—
CN8789
RAILROAD MEDICARE
MI
Enumeration date
04/12/2006
Last updated
05/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us