Organization
PETOSKEY SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M. MARKHAM M.D. (PRESIDENT)
(231) 487-1900
Entity
Organization
Contact information
Practice address
521 MONROE ST, PETOSKEY, MI 49770-2266
(231) 487-1900
(231) 348-0984
Mailing address
521 MONROE ST, PETOSKEY, MI 49770-2266
(231) 487-1900
(231) 348-0984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020B41012
BLUE CARE NETWORK
MI
Enumeration date
04/21/2006
Last updated
06/07/2012
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