Healthcare Provider Details

I. General information

NPI: 1043944028
Provider Name (Legal Business Name): MONARCH HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 COUNTY ROAD HQ
MARQUETTE MI
49855-8855
US

IV. Provider business mailing address

545 COUNTY ROAD HQ
MARQUETTE MI
49855-8855
US

V. Phone/Fax

Practice location:
  • Phone: 906-273-0072
  • Fax: 906-273-0559
Mailing address:
  • Phone: 906-273-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name: JULIE A MCDONALD
Title or Position: OWNER
Credential:
Phone: 906-273-0072