MARK LEE MAEDER RN NPI 1932095791

NPI Information

  • NPI: 1932095791
  • Provider Name: MARK LEE MAEDER, RN
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 850 W BARAGA AVE
    MARQUETTE, MI
    ZIP 49855
  • Phone: (906) 449-3000

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NPI Details

Mark Lee Maeder, RN is a critical care medicine registered nurse in Marquette, MI. Mark Lee Maeder, RN NPI is 1932095791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

850 W BARAGA AVE
MARQUETTE, MI
ZIP 49855-550
Phone: (906) 449-3000

The enumeration date for this NPI number is 6/17/2025 and was last updated on 6/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine4704374721MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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