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1366433567
MARK IRWIN
BELLEVILLE, IL
NPI
1366433567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 336-023425)
Enumeration Date
2005-11-04
Last Update Date
2012-09-21
Business Address
-- MARK IRWIN M.D.
2900 FRANK SCOTT PKWY W SUITE 904
BELLEVILLE, IL 62223-5000
Phone number: 618-234-0640
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Mailing Address
-- MARK IRWIN M.D.
PO BOX 23340
SAINT LOUIS, MO 63156-3340
Phone number: 618-234-0640
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