Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Marquette General Behavorial Health
Organization subpart
No
Provider details
NPI number
Authorized official
A. GARY MULLER (CEO)
(906) 225-4774
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3985
Mailing address
PO BOX 220, MARQUETTE, MI 49855-0220
(906) 225-4821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
MI
2084P0800X
Psychiatry Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E26030
BCBS
MI
01
—
0E26035
BCBS
MI
Enumeration date
03/16/2009
Last updated
07/21/2022
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