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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