Marcus Ismedhi Mutidjo, APN
NPI #1063825446 in Peoria, Illinois
Provider Information
- NPI Number
- 1063825446
- Entity Type
- Individual
- Name
- Marcus Ismedhi Mutidjo, APN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APN
- Enumeration Date
- Jun 3, 2014
- Last Updated
- Jan 14, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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