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Contact Information

DAVID A PESOLA, MD
1414 WEST FAIR AVENUE
SUITE 334
MARQUETTE, MI49855
 Phone: 906-225-3870
 Fax: 906-225-4861
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAVID A PESOLA · (Male)

NPI Number 1285662015
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2006
Last updated 08/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301046757
  • MI Medicaid 1653745
  • WI Medicaid 34966600
  • Other 060029530 RAILROAD MEDICARE
  • MI Other 0605200201 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • BARAGA COUNTY MEMORIAL HOSPITAL - (Critical Access)
    18341 US HIGHWAY 41
    L' ANSE, MI 49946
  • BELL MEMORIAL HOSPITAL - (Critical Access)
    901 LAKESHORE DRIVE
    ISHPEMING, MI 49849
  • MARQUETTE GENERAL HOSPITAL - (Acute Care)
    420 W MAGNETIC
    MARQUETTE, MI 49855
  • PORTAGE HEALTH HOSPITAL - (Acute Care)
    500 CAMPUS DRIVE
    HANCOCK, MI 49930
  • ST FRANCIS HOSPITAL - (Critical Access)
    3401 LUDINGTON ST
    ESCANABA, MI 49829
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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