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1306687645
MADISON ROSE FUNNEMAN
CARBONDALE, IL
NPI
1306687645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125084013)
Enumeration Date
2024-06-03
Last Update Date
2024-06-03
Business Address
MADISON ROSE FUNNEMAN MD
300 W OAK ST
CARBONDALE, IL 62901-1400
Phone number: 618-536-6621
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Mailing Address
MADISON ROSE FUNNEMAN MD
300 W OAK ST
CARBONDALE, IL 62901-1400
Phone number: 618-536-6621
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