Individual
DR. MARELISE NIEUWENHUIZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Mailing address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0435120
ZZ
2084P0800X
Psychiatry Physician
Primary
25697
WV
2084P0800X
Psychiatry Physician
4259699
ZZ
Other
Enumeration date
03/29/2010
Last updated
10/03/2016
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