Individual
JAMES A SURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3424
(906) 225-3032
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(096) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
4301043677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381358036011
TRICARE
MI
05
—
4811392
—
MI
01
—
P00339817
RAILROAD MEDICARE
MI
Enumeration date
04/27/2006
Last updated
03/03/2008
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