Individual
DR. MARISSA LAURETTE FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
692 E 1700 AVE, VANDALIA, IL 62471-4028
(618) 704-5945
(888) 618-8106
Mailing address
692 E 1700 AVE, VANDALIA, IL 62471-4028
(618) 704-5945
(888) 618-8106
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
036.141060
IL
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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