Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Marquette Medical Clinic Iron River
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
1500 W ICE LAKE RD, IRON RIVER, MI 49935-8509
(906) 265-5378
(906) 265-6332
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4533
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C61002
BCBSM GROUP
MI
01
—
CA1145
RAILROAD MEDICARE
MI
01
—
CI0319
RAILROAD MEDICARE
MI
01
—
RR1029
RAILROAD MEDICARE
MI
Enumeration date
03/29/2006
Last updated
04/23/2009
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