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1235362971
MICHAEL JAMES LISTON
MORRIS, IL
NPI
1235362971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036.129326)
Enumeration Date
2009-08-28
Last Update Date
2018-10-23
Business Address
Dr. MICHAEL JAMES LISTON M.D.
100 GORE RD
MORRIS, IL 60450-9466
Phone number: 815-364-8919
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Mailing Address
Dr. MICHAEL JAMES LISTON M.D.
725 SCHOOL ST STE A
MORRIS, IL 60450-1207
Phone number: 815-705-5605
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