Organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Active
Parent organization
DLP MARQUETTE PHYSICIAN PRACTICES INC
Other names
MARQUETTE GENERAL SPORTS MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
DLP MARQUETTE PHYSICIAN PRACTICES INC
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, STE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 225-9371
Mailing address
1414 W FAIR AVE, STE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 225-9371
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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