Organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Active
Parent organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Other names
MARQUETTE GENERAL RADIOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
DLP MARQUETTE PHYSICIAN PRACTICES INC
Authorized official
JESS JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2700
(906) 225-3466
Mailing address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2700
(906) 225-3466
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902157027
—
MI
Enumeration date
09/28/2012
Last updated
11/28/2012
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