U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.; NPI #1689766131

Contact Information

U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.

1414 W FAIR AVE
SUITE 135
MARQUETTE, MI 49855-5408

Phone: 906-225-3880
Fax: 906-225-4523
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.

NPI # 1689766131

LBN Legal business name U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.

Authorized official CHERYL LIUBAKKA - (PRACTICE ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/29/2006

Last updated 06/14/2012 - About 14 years ago

Identifiers

MI	License #	526811
MI	Other	490E209940	BCBSM PIN NIMBER
MI	Other	40371	BLUE CROSS FACILITY NUMBE
MI	Other	430003148	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.

Contact Information

Specialty

Endoscopy

NPI Profile & details for U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.

Reviews for U.P. DIGESTIVE DISEASE ASSOCIATES. P.C.