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1194928796
BRENT D REIFSTECK
URBANA, IL
NPI
1194928796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 125049157)
Enumeration Date
2007-06-09
Last Update Date
2014-05-12
Business Address
Dr. BRENT D REIFSTECK MD
611 W. PARK ST.
URBANA, IL 61801-2500
Phone number: 217-383-3088
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Mailing Address
Dr. BRENT D REIFSTECK MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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