Dr. Marisa Lee Milligan
Dr. Marisa Lee Milligan is a Dentist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
1404 Eastland Dr Ste 101Bloomington, IL 61701-7904
Phone: (309) 663-4711
Fax: (309) 663-1854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019030295 (IL) |
|---|
Record details
| NPI number | 1508240763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 16, 2015 |
| Last updated in NPPES | July 16, 2015 |
| Mailing address | 1404 Eastland Dr Ste 101, Bloomington, IL 61701-7904 |
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