Provider Demographics
NPI:1972170207
Name:ACCESS FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:ACCESS FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:906-373-9496
Mailing Address - Street 1:35 OAK HILL DR
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-9446
Mailing Address - Country:US
Mailing Address - Phone:906-273-2433
Mailing Address - Fax:906-208-4072
Practice Address - Street 1:1001 M 28 E STE 10
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-9322
Practice Address - Country:US
Practice Address - Phone:248-387-9159
Practice Address - Fax:906-208-4072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-07
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty