Organization
MARLETTE REGIONAL HOSPITAL
Active
Other names
MRH Nurse Practitioner Group
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S MCEWEN (CEO)
(989) 635-4000
Entity
Organization
Contact information
Practice address
2770 MAIN ST, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4056
Mailing address
2770 MAIN ST, PO BOX 307, MARLETTE, MI 48453-1141
(989) 635-4000
(989) 635-4056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0944580
HEALTHPLUS
MA
01
—
0G66003
BLUE SHIELD
MI
Enumeration date
01/08/2007
Last updated
02/25/2008
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