| Pathways | |
|
200 W Spring St Marquette MI 49855-4630 | |
| (906) 233-1236 | |
| (906) 233-1235 |
| Full Name | Pathways |
|---|---|
| Speciality | Family Medicine |
| Location | 200 W Spring St, Marquette, Michigan |
| Authorized Official Name and Position | Laura Nelson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 9062331236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways 200 W Spring St Marquette MI 49855-4630 Ph: (906) 233-1236 | Pathways 200 W Spring St Marquette MI 49855-4630 Ph: (906) 233-1236 |
| NPI Number | 1457680357 |
|---|---|
| Provider Enumeration Date | 12/24/2009 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457680357 | NPI | - | NPPES |
| 1724945 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (Michigan) | Secondary |
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