DENNIS D COSTERISAN

DECATUR, IL
NPI1578565701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036071025)
Enumeration Date2005-06-01
Last Update Date2022-01-25
Business Address
Dr. DENNIS D COSTERISAN D.O.
320 E CENTRAL AVE
DECATUR, IL 62521-4665
Phone number: 217-877-9117
Mailing Address
Dr. DENNIS D COSTERISAN D.O.
320 E CENTRAL AVE
DECATUR, IL 62521-4665
Phone number: 217-877-9117