Marilim, Mel G

Marilim, Mel G is an individual health care provider with primary practice located at 915 13Th Ave N , Clinton IA 52732-5067. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marilim, Mel G can be contacted via phone (563) 243-2511.

Contact Information

Primary practice address
915 13Th Ave N Clinton IA 52732-5067
Phone: (563) 243-2511
Fax: (563) 243-0817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33241 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-088251 Illinois

Profile Details

NPI number 1225080666
LBN Legal business name Marilim, Mel G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 15th, 2013 - about 12 years ago

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 1225080666 NPPES
Iowa Other 11431 WELLMARK BC/BS
Iowa Other 049102 WELLMARK BC/BS
Iowa MEDICAID 0201806 WELLMARK BC/BS
Iowa Other 09822166 WELLMARK BC/BS
Iowa Other IA0178 WELLMARK BC/BS
Iowa Other 147067 WELLMARK BC/BS
Iowa Other 19345 WELLMARK BC/BS
Iowa MEDICAID 036088251 WELLMARK BC/BS

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