Individual
MARSHA L MEINERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 WILDCAT DR, MARION, IL 62959-1506
(618) 969-8228
(618) 998-0880
Mailing address
P O BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101081
HEALTH ALLIANCE
IL
05
—
370966854014
—
IL
05
—
370966854023
—
IL
01
—
640701
PTAN MEDICAARE
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
08/20/2006
Last updated
04/05/2017
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