Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Respiratory Medicine
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
1414 W FAIR AVE, SUITE 211, MARQUETTE, MI 49855-2675
(906) 225-3912
(906) 225-7538
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E21003
BCBSM GROUP NUMBER
MI
01
—
CB0539
RAILROAD MEDICARE
MI
01
—
CN8789
RAILROAD MEDICARE
MI
01
—
RR1029
RAILROAD MEDICARE
MI
Enumeration date
10/04/2006
Last updated
04/23/2009
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