Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
UP Hematology Oncology Associates
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 332, MARQUETTE, MI 49855-2675
(906) 225-3922
(906) 225-4527
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-3922
(906) 225-4527
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
4704207327
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704207327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E21002
BCBS GROUP
MI
01
—
CB4751
RAILROAD MEDICARE
MI
01
—
CH3316
RAILROAD MEDICARE
MI
01
—
CH6298
RAILROAD MEDICARE
MI
Enumeration date
04/27/2006
Last updated
01/26/2010
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