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NPI Code Detail

MEDICARE: MARIANNE MILDENBERGER M.D.

MEDICARE: MARIANNE MILDENBERGER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician25823AZ

General Provider Information

NPI Number : 1538167945
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE MILDENBERGER M.D.
Provider Business Mailing Address
First Line : PO BOX 6423
Second Line :
City : CHANDLER
State : AZ
Zip : 85246-6423
Country : US
Telephone Number : 480-314-6670
Fax Number : 480-398-8080
Provider Business Practice Location Address
First Line : 8880 E DESERT COVE AVE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6746
Country : US
Telephone Number : 480-314-6670
Fax Number : 480-257-1997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2005
Last Update Date : 11/17/2022

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