Individual
MARYANN PHILLIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 JOHN ST STE N1200, KALAMAZOO, MI 49007-5318
(269) 341-7887
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036100368
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100368
—
IL
Enumeration date
03/07/2006
Last updated
11/27/2023
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