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Organization

MARATHON HEALTH, LLC

Active
Parent organization
MARATHON HEALTH LLC
Other names
Boar's Head Employee Health Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARATHON HEALTH LLC
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization

Contact information

Practice address
284 ROOST AVE, HOLLAND, MI 49424-2032
(802) 857-0400
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0400

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/09/2019
Last updated
01/09/2019
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