DR. Marisa Lee Milligan
NPI #1508240763 in Bloomington, Illinois
Provider Information
- NPI Number
- 1508240763
- Entity Type
- Individual
- Name
- DR. Marisa Lee Milligan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Enumeration Date
- Jul 16, 2015
- Last Updated
- Jul 16, 2015
Practice Location
- Address
- 1404 EASTLAND DR STE 101
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7904
- Phone
- (309) 663-4711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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