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1669811220
TIMOTHY ALAN MIKESELL
SPRINGFIELD, IL
NPI
1669811220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 125.062755)
Enumeration Date
2013-06-17
Last Update Date
2013-06-17
Business Address
Dr. TIMOTHY ALAN MIKESELL M.D.
701 N 1ST ST
SPRINGFIELD, IL 62702-3757
Phone number: 217-757-2387
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Mailing Address
Dr. TIMOTHY ALAN MIKESELL M.D.
701 N 1ST ST BOX 101
SPRINGFIELD, IL 62781-0001
Phone number: 217-757-2387
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