| Organization Name: | DLP MARQUETTE PHYSICIAN PRACTICES INC |
| NPI Number: | 1053667550 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESS N JUDY (PRESIDENT) |
| Mailing Address: | 2002 Minneapolis Ave Gladstone |
| State: | MI US |
| Postal Code: | 498372027 |
| Phone Number: | 9064281856 |
| Fax Number: | 9067281960 |
| NPI Enumeration Date: | 08/02/2012 |
| NPI Last Update Date: | 08/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |