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1366424061
DOUGLAS CRAIG MAIBENCO
DECATUR, IL
NPI
1366424061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 036098825)
Enumeration Date
2005-11-17
Last Update Date
2022-01-06
Business Address
DOUGLAS CRAIG MAIBENCO MD PhD
1730 E LAKE SHORE DR
DECATUR, IL 62521-3809
Phone number: 217-329-1000
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Mailing Address
DOUGLAS CRAIG MAIBENCO MD PhD
1730 E LAKE SHORE DR
DECATUR, IL 62521-3809
Phone number: 217-329-1000
Copy
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