Individual
DR. MEL G MARILIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-088251
IL
207Q00000X
Family Medicine Physician
Primary
33241
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201806
—
IA
05
—
036088251
—
IL
01
—
049102
HEALTH ALLIANCE
—
01
—
09822166
BLUE CROSS / BLUE SHIELD
IL
01
—
11431
WELLMARK BC/BS
IA
01
—
147067
IOWA HEALTH SOLUTIONS
—
01
—
19345
MIDLANDS CHOICE
—
01
—
IA0178
JOHN DEERE HEALTH
—
Enumeration date
05/16/2006
Last updated
03/15/2013
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