Individual provider · NPI-1
Marlene Kremer, M.D.
Family Medicine · Mattoon, IL
NPI number1831205749
StatusActive
Last updated in NPPESJan 22, 2024
Details
- NPI
- 1831205749
- Entity type
- Individual (NPI-1)
- Name
- Marlene Kremer
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Certification date
- Jan 22, 2024
- Last updated
- Jan 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036-096656 | IL | Yes |
Practice location
39 WindermereMattoon, IL 61938-9021
Phone 217-249-9671
Mailing address
39 WindermereMattoon, IL 61938-9021
Phone 217-249-9671
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