Organization
SURGICAL ASSOCIATES OF MARQUETTE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY M KURIAN (BILLING MANAGER)
(906) 225-4510
Entity
Organization
Contact information
Practice address
1414 W FAIR AVENUE3, SUITE 230, MARQUETTE, MI 49855-2675
(906) 225-3853
(906) 228-4065
Mailing address
1414 W FAIR AVENUE, SUITE 230, MARQUETTE, MI 49855-2675
(906) 225-3853
(906) 228-4065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020E26017
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/04/2007
Last updated
07/10/2010
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