Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikiko Demura Marzilli, MSLD

Individual provider Registered Dietitian · NPI 1205373578

Mikiko Demura Marzilli, MSLD is a Registered Dietitian OR Nutrition Professional in Bangor, Maine. Qualified in 2015, 11 years ago. Practices with Eastern Maine Medical Center, a 659-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
11
Licensed in
ME
In the registry since
2017
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Practice location Address checks out

905 Union St Ste 11
Bangor, ME 04401-3050
Phone: (207) 973-7364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence TD1334 (ME)

Record details

NPI number1205373578
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSLD
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESJanuary 25, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Eastern Maine Medical Center — 659 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bangor