Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
OCCUPATIONAL MEDICINE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM NEMACHECK (CHIEF EXECUTIVE OFFICER)
(906) 225-4821
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, SUITE 35, MARQUETTE, MI 49855-2675
(906) 225-4555
(906) 225-4554
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(906) 225-4535
(906) 225-4554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2083X0100X
Occupational Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E26000
BCBSM GROUP
MI
Enumeration date
05/01/2006
Last updated
11/01/2007
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