Individual
DR. MARIANNETTE J MILLER-MEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1223 S GEAR AVE, SUITE 309, WEST BURLINGTON, IA 52655-1682
(319) 768-4500
(319) 768-4505
Mailing address
1223 S GEAR AVE, SUITE 309, WEST BURLINGTON, IA 52655-1682
(319) 768-4500
(319) 768-4505
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26438
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3116202
—
IA
01
—
421479101
TAX ID
IA
Enumeration date
08/12/2005
Last updated
02/02/2016
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