MARK LOUIS WESTPHAL

CARBONDALE, IL
NPI1043388242
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: IL  036055065)
Enumeration Date2006-12-04
Last Update Date2024-02-05
Business Address
MARK LOUIS WESTPHAL MD
665 E LAKE RD
CARBONDALE, IL 62901-5347
Phone number: 618-549-0841
Mailing Address
MARK LOUIS WESTPHAL MD
PO BOX 399
CARBONDALE, IL 62903-0399
Phone number: 618-549-0841