1. Home
  2. Directory
  3. Michigan
  4. Marquette
  5. Internal Medicine
  6. NPI Profile

GASTROENTEROLOGY SPECIALISTS OF MARQUETTE, PLLC
NPI 1962521476
Internal Medicine - Gastroenterology in Marquette, MI

Active since March 28, 2007
580 W COLLEGE AVE, MARQUETTE, MI 49855(906) 225-3680(906) 225-4815 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gastroenterology Specialists Of Marquette, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTROENTEROLOGY SPECIALISTS OF MARQUETTE, PLLC (NPI 1962521476) is a healthcare organization registered as a gastroenterology in Marquette, Michigan and active in the NPI registry since March 2007. The organization lists William G Stahl,iii, President, as its authorized official.

NPPES Registry Identity

NPI1962521476
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY SPECIALISTS OF MARQUETTE, PLLC
Location Address580 W COLLEGE AVEMarquette, MI 49855-2705
Mailing Address2837 Us Highway 41 WMarquette, MI 49855-2252 · (906) 225-3964 · Fax (906) 226-3875
Phone(906) 225-3680
Fax(906) 225-4815
Organization SubpartNo
Authorized OfficialWilliam G Stahl,iiiPresident · (906) 225-3680
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 18, 2008
✔ NPI 1962521476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301082866
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
580 W COLLEGE AVE, Marquette, MI 49855
Open in Google Maps ↗

Other Identifiers 6

Medicaid4994550MI
Other1005210961MI · Blue Cross Blue Shield Mi
Medicare UPINF61513MI
Medicare PIN0P43050MI
Medicare PINDN1827
Other0521096MI · Blue Cross Blue Shield Mi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA JEAN ROOSE REGISTERED DIETITIAN
Dietitian, Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3221
DR. BRIAN JON MACFALDA DO, MBA
Psychiatry & Neurology (Neurology)
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3939
DLP MARQUETTE PHYSICIAN PRACTICES INC
Physical Medicine & Rehabilitation
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3993
SANDRA L WACHTER CRNA
Nurse Anesthetist, Certified Registered
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3406
DR. PRAKASH R DHADPHALE M.D.
Anesthesiology
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 226-2569
ROBERT A MELLIN M ED LPC CSW CACII
Counselor (Addiction (Substance Use Disorder))
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3985
DR. TYANNE LEE DOSH M.D., M.S.
Psychiatry & Neurology (Psychiatry)
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-3895
MR. ANDREW GERARD BOUDREAU N.P.
Nurse Practitioner
580 W COLLEGE AVE
MARQUETTE, MI 49855
Marquette County (906) 225-4531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gastroenterology Specialists Of Marquette, PLLC's NPI number?

The NPI number for Gastroenterology Specialists Of Marquette, PLLC is 1962521476. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Gastroenterology Specialists Of Marquette, PLLC located?

Gastroenterology Specialists Of Marquette, PLLC is located at 580 W College Ave, Marquette, MI 49855. The listed phone number is (906) 225-3680.

What is Gastroenterology Specialists Of Marquette, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Gastroenterology Specialists Of Marquette, PLLC was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.