Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Chippewa Medical Associates
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
510 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-1964
(906) 632-6013
(906) 632-8618
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 632-6013
(906) 632-8618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
4301087007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A71012
BCBSM GROUP
MI
01
—
0E21081
BCBS NP GROUP
MI
01
—
110E20995
BCBSM NEPHROLOGY GROUP
MI
01
—
C31351
RAILROAD MEDICARE
MI
01
—
CA1145
RAILROAD MEDICARE
MI
01
—
CH3316
RAILROAD MEDICARE
MI
Enumeration date
04/12/2006
Last updated
04/23/2009
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