Mary Lee Tobin-Anderson
Family Doctor Family Doctor - Hospice and Palliative Medicine
5089 Us Highway 41 South
Marquette
, Michigan 49855
Mary Lee Tobin-Anderson
Family Doctor Family Doctor - Hospice and Palliative Medicine
5089 Us Highway 41 South
Marquette
, Michigan 49855
(906) 228-0166
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About
Features
Specialties
- Family Doctor
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Mary Lee Tobin-Anderson
- 5089 Us Highway 41 South
- Marquette, MI
- Zip : 49855
- Fax : (906) 228-0166
- Phone : (906) 249-5589
Second Address
- Mary Lee Tobin-Anderson
- 5089 Us Highway 41 South
- Marquette, MI
- Zip : 49855
- Fax : (906) 228-0166
- Phone : (906) 249-5589
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 4301084091 | MI |
| N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 4301084091 | MI |
National Provider Identifier
| NPI | 1457578049 |
|---|---|
| Provider Name | Mary Lee Tobin-Anderson |
| First Address | Marquette, MI 49855 |
| Second Address | Marquette, MI 49855 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 22/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0805211002 | BLUE CROSS BLUE SHIELD MI (01) | MI |
| 5200345 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.