Individual
MARISSA MALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
702 ROTARY CIR # 115B, INDIANAPOLIS, IN 46202-5133
(317) 274-8197
Mailing address
702 ROTARY CIR # 115B, INDIANAPOLIS, IN 46202-5133
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01065249A
IN
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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