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General NPI Number Information
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NPI Number | 1902860695
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Entity Type | Organization
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Legal Business Name | MARQUETTE GENERAL HOSPITAL, INC.
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 800 EAST BLVD
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City | KINGSFORD
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State | MI
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Zip | 49802-4436
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Country | US
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Telephone | 906-774-4000
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Fax | 906-774-0088
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Provider Business Mailing Address
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Address Line | 4602 DEPT
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City | CAROL STREAM
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State | IL
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Zip | 60122-0021
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Country | US
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Telephone | 906-225-4533
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Fax | 906-225-4537
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. A. GARY MULLER
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Credential |
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Telephone | 906-225-4821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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