MICHAEL J JENNEWEIN

SPRINGFIELD, IL
NPI1548288145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036128049)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301077615)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  2012016497)
Enumeration Date2006-07-18
Last Update Date2021-06-29
Business Address
Dr. MICHAEL J JENNEWEIN MD
3050 MONTVALE DR STE A
SPRINGFIELD, IL 62704-6924
Phone number: 217-726-8096
Mailing Address
Dr. MICHAEL J JENNEWEIN MD
2040 W ILES AVE STE C
SPRINGFIELD, IL 62704-4183
Phone number: 217-789-0668
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