Dewald, Marilynn S.

Dewald, Marilynn S. is an individual health care provider with primary practice located at 1000 Cedar St , Houghton MI 49931-1978. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dewald, Marilynn S. can be contacted via phone (906) 487-1710.

Contact Information

Primary practice address
1000 Cedar St Houghton MI 49931-1978
Phone: (906) 487-1710
Fax: (906) 487-9421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301056759 Michigan

Profile Details

NPI number 1548262702
LBN Legal business name Dewald, Marilynn S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548262702 NPPES
Michigan Other 233857 RHC MEDICARE NUMBER
Michigan Other 4301056759 RHC MEDICARE NUMBER
Michigan MEDICAID 2668377 RHC MEDICARE NUMBER

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