| NPI | 1154427664 |
|---|---|
| Former Legal Business Name | MICHAEL JOHN BEIERLE MDSC |
| Entity Type | Organization |
| Authorized Contact | KENNETH W MIHELICH Secretary 815-398-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-05-18 |