DLP Marquette Physician Practices Inc
Organization Active NPI Family Medicine Physician · Gladstone, MI
NPI 1053667550 · NPPES record last updated Mar 9, 2025
Key facts
- NPI
- 1053667550
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DLP MARQUETTE PHYSICIAN PRACTICES INC
- Practice address
- 2002 Minneapolis Ave
Gladstone, MI 49837-2027 - Phone
- (906) 428-1856
- Fax
- (906) 728-1960
- NPI assigned
- Aug 2, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- DLP MARQUETTE PHYSICIAN PRACTICES INC
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Other NPIs on the same Medicare enrollment 33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121016000312 | MI | Part B Supplier - Clinic/Group Practice | 9931359601 |
Receives reassigned benefits from 467 practitioners 33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marquette, MI; Negaunee, MI; Newberry, MI; Escanaba, MI; Ontonagon, MI; Sault Sainte Marie, MI; Ternary, MI; Manistique, MI… |
National Provider Directory
- Part of
- DLP Marqutte Physician Practices Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
2002 Minneapolis Ave
Gladstone, MI 49837-2027
Mailing address
2002 Minneapolis Ave
Gladstone, MI 49837-2027
Phone (906) 428-1856
Other names
- MARQUETTE GENERAL MEDICAL CLINIC - GLADSTONE
Other providers in Gladstone, MI
- Jessica M Cameron
- DB Therapy LLC
- Heather E Demay
- Dickinson County Healthcare System
- Dickinson County Healthcare System
- Dr. Richard C. Pfotenhauer Family Dentistry
- Fairbanks Family Chiropractic Inc
- David Lee Fairbanks
- Margo Irene Fairbanks
- Family Roots Chiropractic
All providers in Gladstone, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.