Individual provider · Type 1 NPI
Michelle Marie Maris, M.S.
Specialist · Atlanta, IL
NPI number
1205973856
Active
Practice location
2332 2275th Ave
Atlanta, IL 61723-9000
Fax (217) 648-2549
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MM67660801P (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1205973856
Michelle Marie Maris, M.S.'s National Provider Identifier is 1205973856, issued on Jan 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, IL. The record was last updated on Jul 8, 2007.