Individual
MARLENE WILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6701 ROCKSIDE RD STE 330, INDEPENDENCE, OH 44131-2316
(216) 524-4009
(216) 524-7933
Mailing address
6701 ROCKSIDE RD STE 330, INDEPENDENCE, OH 44131-2316
(216) 524-4009
(216) 524-7933
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35055925
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139399
—
OH
Enumeration date
07/17/2006
Last updated
06/29/2012
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