Provider Demographics
NPI:1376610733
Name:MEININGER, MARC G (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:G
Last Name:MEININGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3900 S ZINTEL WAY
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99337-5092
Mailing Address - Country:US
Mailing Address - Phone:509-942-3627
Mailing Address - Fax:509-942-2268
Practice Address - Street 1:336 CHARDONNAY AVE, #B BLDG #3
Practice Address - Street 2:KADLEC CLINIC - OBGYN
Practice Address - City:PROSSER
Practice Address - State:WA
Practice Address - Zip Code:99350
Practice Address - Country:US
Practice Address - Phone:509-942-3627
Practice Address - Fax:509-942-2340
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00032253207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMD00032253OtherWA ST LICENSE
WAMD00032253OtherWA ST LICENSE
B24833Medicare UPIN