ERIK DUANE BURGWALD

CHAMPAIGN, IL
NPI1689644684
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046008644)
Enumeration Date2006-01-24
Last Update Date2015-07-31
Business Address
Dr. ERIK DUANE BURGWALD OD
1711 S NEIL ST
CHAMPAIGN, IL 61820
Phone number: 217-359-2390
Mailing Address
Dr. ERIK DUANE BURGWALD OD
1711 S NEIL ST
CHAMPAIGN, IL 61820
Phone number: 217-359-2390
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