Organization
MARQUETTE INTERNAL MEDICINE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J VAN ESS (ADMINISTRATOR)
(906) 225-4500
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE #201, MARQUETTE, MI 49855-2675
(906) 225-4500
(906) 225-3919
Mailing address
1414 W FAIR AVE, SUITE #201, MARQUETTE, MI 49855-2675
(906) 225-4500
(906) 225-3919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OE26038
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
07/01/2006
Last updated
09/11/2025
Update your record
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