Individual
MARILYN EILEEN CONLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
1421 WAYNE ST, TRAVERSE CITY, MI 49684-1432
(231) 995-0959
Mailing address
2400 NORTHERN VISIONS DR, TRAVERSE CITY, MI 49684-7034
(231) 922-9625
(231) 929-5594
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MC072857
MI
Other
Enumeration date
08/17/2006
Last updated
11/23/2020
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