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1215043971
MICHAEL SMITH
MATTOON, IL
NPI
1215043971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: IL 036-092274)
Enumeration Date
2006-08-22
Last Update Date
2024-11-08
Business Address
MICHAEL SMITH M.D.
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4653
Phone number: 217-258-2409
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Mailing Address
MICHAEL SMITH M.D.
PO BOX 372
MATTOON, IL 61938-0372
Phone number:
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