Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Organization
MARQUETTE GENERAL HOSPITAL, INC.
Active
Other names
Marquette General Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOLD GARY MULLER (CHIEF EXECUTIVE OFFICER)
(906) 225-4575
Entity
Organization
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(902) 225-3945
Mailing address
2837 US HIGHWAY 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104957136
—
MI
05
—
104957145
—
MI
05
—
104957154
—
MI
05
—
104957332
—
MI
05
—
104957341
—
MI
05
—
104957350
—
MI
05
—
104957360
—
MI
05
—
104957379
—
MI
05
—
104957388
—
MI
01
—
140E210830
BLUE CROSS BLUE SHIELD MI
MI
01
—
CC5279
RAILROAD MEDICARE
—
Enumeration date
12/29/2006
Last updated
05/19/2008
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