MEDICARE: MICHAEL MARENGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2901603118	MI

General Provider Information

NPI Number	:	1417887506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL MARENGER

Provider Business Mailing Address
First Line	:	2243 SUMMIT ST
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-1359
Country	:	US
Telephone Number	:	906-399-5921
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 W WASHINGTON ST
Second Line	:
City	:	MARQUETTE
State	:	MI
Zip	:	49855-4002
Country	:	US
Telephone Number	:	906-226-9992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “ MICHAEL MARENGER ” Practice Location

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