Provider Demographics
NPI:1205184876
Name:DLP MARQUETTE PHYSICIAN PRACTICES INC
Entity type:Organization
Organization Name:DLP MARQUETTE PHYSICIAN PRACTICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-920-7000
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:TRENARY
Mailing Address - State:MI
Mailing Address - Zip Code:49891-0125
Mailing Address - Country:US
Mailing Address - Phone:906-446-3336
Mailing Address - Fax:906-446-3468
Practice Address - Street 1:E 2995 STATE HWY M67
Practice Address - Street 2:
Practice Address - City:TRENARY
Practice Address - State:MI
Practice Address - Zip Code:49891-0125
Practice Address - Country:US
Practice Address - Phone:906-446-3336
Practice Address - Fax:906-446-3468
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DLP MARQUETTE PHYSICIAN PRACTICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-29
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health