Dr. Serge Peter Marinkovic
Surgeon Urologist Plastic and Reconstructive Surgery
1120 N Melvin St
Gibson City
, Illinois 60936-1477
Dr. Serge Peter Marinkovic
Surgeon Urologist Plastic and Reconstructive Surgery
1120 N Melvin St
Gibson City
, Illinois 60936-1477
(217) 784-2334
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
- Urologist
Languages spoken
- English
Location
First Address
- Dr. Serge Peter Marinkovic
- 1120 N Melvin St
- Gibson City, IL
- Zip : 60936-1477
- Fax : (217) 784-2334
- Phone : (217) 784-2340
Second Address
- Dr. Serge Peter Marinkovic
- 1120 N Melvin St
- Gibson City, IL
- Zip : 60936-1477
- Fax : (217) 784-2334
- Phone : (217) 784-2340
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 200543 | LA |
| N | 208600000X | Surgeon | 200543 | LA |
| N | 2086S0122X | Plastic and Reconstructive Surgery | 200543 | LA |
| Y | 208800000X | Urologist | 200543 | LA |
National Provider Identifier
| NPI | 1093705501 |
|---|---|
| Provider Name | Dr. Serge Peter Marinkovic |
| First Address | Gibson City, IL 60936-1477 |
| Second Address | Gibson City, IL 60936-1477 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2005 |
| Last Update Date | 02/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F32417 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.