GREGORY DETERS

MATTOON, IL
NPI1497861702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-087539)
Enumeration Date2006-08-21
Last Update Date2018-09-21
Business Address
GREGORY DETERS M.D.
200 RICHMOND AVE E
MATTOON, IL 61938-4652
Phone number: 217-234-7000
Mailing Address
GREGORY DETERS M.D.
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4693
Phone number: 217-234-6055
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