Individual
MYRON M MARLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD STE 240, GREEN BAY, WI 54311-6519
(920) 288-8280
(920) 288-8385
Mailing address
2845 GREENBRIER RD STE 240, PO BOX 890, GREEN BAY, WI 54308-8900
(920) 288-8280
(920) 288-8285
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
21501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104384598
—
MI
05
—
30180200
—
WI
01
—
340015993
RAILROAD
WI
01
—
3402100582
BCBS
MI
Enumeration date
06/22/2006
Last updated
08/29/2008
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