UPPER MICHIGAN CARDIOVASCULAR ASSOCIATES PC NPI 1649214099

NPI Information

NPI: 1649214099
Provider Name: UPPER MICHIGAN CARDIOVASCULAR ASSOCIATES, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1414 WEST FAIR AVE
SUITE 334
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-3870
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UPPER MICHIGAN CARDIOVASCULAR ASSOCIATES, PC is a cardiovascular disease internal medicine in Marquette, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. UPPER MICHIGAN CARDIOVASCULAR ASSOCIATES, PC NPI is 1649214099. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1414 WEST FAIR AVE
SUITE 334
MARQUETTE, MI
ZIP 49855
Phone: (906) 225-3870
Fax: (906) 225-4861

The provider's authorized official is Thomas Dale Legalley .
The authorized official title is President and has the following contact phone number (906) 225-3870.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 10/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)				No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0N80080	MEDICARE PIN
2	0N85390	MEDICARE PIN
3	700E210530	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
4	0P17990	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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