Organization
MARQUIS ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY JOUPPI RN, BSN (OWNER)
(616) 608-7555
Entity
Organization
Contact information
Practice address
3205 SOFT WATER LAKE DR NE, SUITE 104 B, GRAND RAPIDS, MI 49525-2748
(616) 608-7555
(616) 608-7555
Mailing address
3205 SOFT WATER LAKE DR NE, SUITE 104 B, GRAND RAPIDS, MI 49525-2748
(616) 608-7555
(616) 608-7555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4704089611
MI
163WA2000X
Administrator Registered Nurse
4704089611
MI
171W00000X
Contractor
4704089611
MI
261QM1300X
Multi-Specialty Clinic/Center
Primary
4704089611
MI
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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