Organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Active
Other names
Marquette General Urogynecology
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, STE 24, MARQUETTE, MI 49855-2675
(906) 225-3410
(906) 225-3147
Mailing address
1414 W FAIR AVE, SUITE 242, MARQUETTE, MI 49855-2675
(906) 225-3410
(906) 225-3147
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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