MARISA VANDER MEEDEN

CHICAGO, IL
NPI1912943937
Former NameMARISA KRENKEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085001870)
Enumeration Date2006-06-20
Last Update Date2010-08-09
Business Address
-- MARISA VANDER MEEDEN PA
675 N SAINT CLAIR ST
CHICAGO, IL 60611-5975
Phone number: 312-695-9797
Mailing Address
-- MARISA VANDER MEEDEN PA
675 N SAINT CLAIR ST
CHICAGO, IL 60611-5975
Phone number: 312-695-9797
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