ANTHONY O AMIEWALAN MD, SC

DECATUR, IL
NPI1053543215
Entity TypeOrganization
Authorized ContactANTHONY O AMIEWALAN
Owner
217-422-0560
Organization Subpart ?No
Primary Taxonomy173000000X Legal Medicine
(Licence: IL  036112019)
Enumeration Date2009-08-20
Last Update Date2009-08-20
Business Address
ANTHONY O AMIEWALAN MD, SC
1750 E LAKE SHORE DR SUITE 320
DECATUR, IL 62521-3803
Phone number: 217-422-0560
Mailing Address
ANTHONY O AMIEWALAN MD, SC
1750 E LAKE SHORE DR SUITE320
DECATUR, IL 62521-3803
Phone number: 217-422-0560
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