MESHACH VEDANAYAGAM SAMUEL

MARION, IL
NPI1124092341
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-103980)
Enumeration Date2006-02-14
Last Update Date2016-12-01
Business Address
Dr. MESHACH VEDANAYAGAM SAMUEL
2401 W MAIN ST
MARION, IL 62959-1188
Phone number: 618-997-5311
Mailing Address
Dr. MESHACH VEDANAYAGAM SAMUEL
14614 GOSSETT RD
WEST FRANKFORT, IL 62896-4219
Phone number: 618-937-6650
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