Marissa Nicole Maeder
Marissa Nicole Maeder is an Other Specialist/Technologist in Malta, Illinois. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
205 S 6th StMalta, IL 60150-9703
Phone: (815) 761-8707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Other Specialist/Technologist | Taxonomy 246Z00000X |
Record details
| NPI number | 1275068660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2017 |
| Last updated in NPPES | April 24, 2017 |