DR. KATHERINE WIDERBORG M.D., F.A.C.S., P.C.

NORMAL, IL
NPI1699906966
Entity TypeOrganization
Authorized ContactKATHERINE WIDERBORG
Owner
309-212-2002
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  036-068927)
Enumeration Date2009-08-04
Last Update Date2009-09-21
Business Address
DR. KATHERINE WIDERBORG M.D., F.A.C.S., P.C.
1537 FORT JESSE RD SUITE A
NORMAL, IL 61761-6192
Phone number: 309-808-0122
Mailing Address
DR. KATHERINE WIDERBORG M.D., F.A.C.S., P.C.
1537 FORT JESSE RD SUITE A
NORMAL, IL 61761-6192
Phone number: 309-808-0122
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