Organization
MARQUETTE GENERAL HOSPITAL, INC
Active
Other names
Upper Peninsula Orthotics and Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CHARTIER (DIR OF HOME HEALTH)
(906) 228-4325
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 228-4325
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-0-E2-1082-0
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
03/09/2007
Last updated
02/01/2011
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