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Individual

MARLENE A JILEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN NP

Contact information

Practice address
1230 E MAIN ST, MANKATO CLINIC @ MAIN STREET, MANKATO, MN 56001-5066
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST MANKATO CLINIC LTD, MANKATO, MN 56002-8674
(507) 625-1811

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R0894533
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1200703
MEDICA
MN
01
124543
UCARE
MN
01
1652148
AMERICAS PPO
MN
01
41084933956001C117
CHAMPUS
01
500009833
RR MEDICARE
05
811242800
MN
01
87837JI
BCBS
MN
01
938134
MEDICAID
IA
01
HP41025
HEALTH PARTNERS
MN
01
NA2951023874
PREFFERED ONE
MN
Enumeration date
01/09/2006
Last updated
07/10/2020
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