Individual
DR. MARILOU MARCELO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MAIRMN HEALTH, 427 N. 12TH STREET, PLUMMER, ID 83851
(208) 686-1931
(208) 686-5133
Mailing address
P.O. BOX 388, 427 N. 12TH STREET, PLUMMER, ID 83851
(208) 686-1931
(208) 686-0213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-13052
ID
Other
Enumeration date
06/08/2010
Last updated
11/24/2021
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