Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Marquette Medical Clinic Kingsford
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
800 EAST BLVD, KINGSFORD, MI 49802-4436
(906) 774-4000
(906) 774-0088
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4533
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B21017
BCBSM GROUP
MI
01
—
CA1145
RAILROAD MEDICARE
MI
01
—
CI0319
RAILROAD MEDICARE
MI
01
—
RR1029
RAILROAD MEDICARE
MI
Enumeration date
04/12/2006
Last updated
04/23/2009
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