PAULO ROBERTO KOSSATZ MICHELINI

PEORIA, IL
NPI1164916706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  90200000x)
Enumeration Date2018-06-18
Last Update Date2018-06-18
Business Address
PAULO ROBERTO KOSSATZ MICHELINI
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: 309-672-4974
Mailing Address
PAULO ROBERTO KOSSATZ MICHELINI
221 NE GLEN OAK AVE
PEORIA, IL 61636-0001
Phone number: