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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