Most Relevant Information
Provider Data
| NPI Number: | 1003275702 |
| Provider Name: | MARIETTA MEULI ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 36002485A |
Most Important Dates
| Enumeration Date: | 02/23/2016 |
| Last Updated: | 02/23/2016 |
Provider Practice Location
301 W HOMER ST
MICHIGAN CITY
IN
463604358
Practice Location Phone/Fax
| Phone: | 2198798511 |
| Fax: |
Provider Mailing Location
8259 WICKER AVE
SAINT JOHN
IN
463738878
Provider Mailing Phone/Fax
| Phone: | 2193656560 |
| Fax: | 2193656561 |