Organization Name: | DLP MARQUETTE PHYSICIAN PRACTICES INC |
NPI Number: | 1073861431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESS N JUDY (PRESIDENT) |
Mailing Address: | 1414 W Fair Ave Ste 334 Marquette |
State: | MI US |
Postal Code: | 498552675 |
Phone Number: | 9062253870 |
Fax Number: | 9062253975 |
NPI Enumeration Date: | 08/16/2012 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |