Individual
MARK LEE MAEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
850 W BARAGA AVE, MARQUETTE, MI 49855-4550
(906) 449-3000
Mailing address
521 S 18TH ST, ESCANABA, MI 49829-2431
(224) 475-7424
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704374721
MI
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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