Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Marquette General Hospital General Surgical Services
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
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-7430
(906) 225-4815
Mailing address
4602 DEPARTMENT, CAROL STREAM, IL 60122-0021
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301088772
MI
208C00000X
Colon & Rectal Surgery Physician
4301043677
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E21079
BLUE CROSS BLUE SHIELD GR
MI
01
—
CA7435
RAILROAD MEDICARE
MI
Enumeration date
09/12/2006
Last updated
04/21/2009
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