MICHAELIA VASILIA FOSSES VUONG

SPRINGFIELD, IL
NPI1063941847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: IL  125069974)
Enumeration Date2017-06-06
Last Update Date2017-06-06
Business Address
MICHAELIA VASILIA FOSSES VUONG DO
701 N 1ST ST STE D220
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-3518
Mailing Address
MICHAELIA VASILIA FOSSES VUONG DO
PO BOX 19679
SPRINGFIELD, IL 62794-9679
Phone number:
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