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Mrs. Mary Melanie Waller, MD
Urology Physician in Olney, Illinois
NPI 1225024615

Mary Melanie Waller is a Urology Physician based in Olney, IL. Mary Melanie Waller practices in Olney, IL and has the professional credentials of MD. The NPI Number for Mary Melanie Waller is 1225024615 and holds a License No. 036119328 (Illinois).

The current practice location address for Mary Melanie Waller is 1200 N East St, Olney, IL and can be reached out via phone at 618-395-5222. You can also correspond with Mary Melanie Waller through the mailing address at PO BOX 97, OLNEY, IL - 62450-0097 (mailing address contact number: 618-395-7340).

Location: 1200 N East St, Olney, IL, 62450-0097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225024615
Provider Name
Mary Melanie Waller
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1200 N East St, Olney, IL, 62450-0097
Phone Number
618-395-5222
Fax Number
Provider Enumeration Date
09/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036119328 05 IL
institution
Provider Business Practice Location Address Details
Address
1200 N East St
City
Olney
State
Illinois
Zip
62450-2432
Phone Number
618-395-5222
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N East St
City
Olney
State
Illinois
Zip
62450-2432
Phone Number
618-395-5222
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
036119328 (Illinois)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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