Individual
MR. MARVIN RICHARD MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 998-5616
(618) 998-5656
Mailing address
5718 STOTLAR RD, CARTERVILLE, IL 62918-3418
(618) 942-4119
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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