Organization
U. P. DIGESTIVE DISEASE ASSOCIATES, P.C.
Active
Organization
U. P. DIGESTIVE DISEASE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LIUBAKKA CPA (PRACTICE ADMINISTRATOR)
(906) 225-3880
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, STE 247, MARQUETTE, MI 49855-2675
(906) 225-3880
(906) 225-4523
Mailing address
1414 W FAIR AVE, STE 247, MARQUETTE, MI 49855-2675
(906) 225-3880
(906) 225-4523
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5977
RAILROAD MEDICARE
MI
Enumeration date
02/14/2007
Last updated
05/07/2012
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