| Marne March Olli, Llc | |
|
440 W Main St Ste B Gaylord MI 49735-1885 | |
| (989) 350-0183 | |
| Not Available |
| Full Name | Marne March Olli, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 440 W Main St, Gaylord, Michigan |
| Authorized Official Name and Position | Marne March Olli (COUNSELOR) |
| Authorized Official Contact | 9893500183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marne March Olli, Llc 7272 E Opal Lake Rd Gaylord MI 49735-9083 Ph: (989) 350-0183 | Marne March Olli, Llc 440 W Main St Ste B Gaylord MI 49735-1885 Ph: (989) 350-0183 |
| NPI Number | 1164846655 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164846655 | NPI | - | NPPES |
| 66881 | Other | MI | MERIDIAN HEALTH PLAN |
| 12202205 | Other | MI | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6401012223 (Michigan) | Primary |
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