Dlp Marquette Physician Practices INC
Internal Medicine, Bariatric Medicine in Marquette, MI. Organization (NPI-2).
NPI number1487902995
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1487902995
- Entity type
- Organization (NPI-2)
- Legal business name
- Dlp Marquette Physician Practices INC
- Organization subpart
- No
- Enumeration date
- Aug 15, 2012
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RB0002X | Internal Medicine, Bariatric Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 208000000X | Pediatrics | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 208600000X | Surgery | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Marquette General Family Medicine - Marquette (Doing Business As)
Practice location
1414 W Fair AveSte 36
Marquette, MI 49855-2675
Phone 906-225-3864 · Fax 906-225-3851
Mailing address
1414 W Fair AveSte 36
Marquette, MI 49855-2675
Phone 906-225-3864 · Fax 906-225-3851
Authorized official
Monica Bowman
President
6159207000
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