Healthcare Provider Details
I. General information
NPI: 1699022590
Provider Name (Legal Business Name): DLP MARQUETTE GENERAL HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/09/2012
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 W MAGNETIC ST
MARQUETTE MI
49855-2700
US
IV. Provider business mailing address
330 SEVEN SPRINGS WAY
BRENTWOOD TN
37027-4536
US
V. Phone/Fax
- Phone: 906-228-9440
- Fax: 906-225-3094
- Phone: 615-920-7000
- Fax: 615-920-8913
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VICTOR
E.
GIOVANETTI
Title or Position: PRESIDENT
Credential:
Phone: 61539207000