MICHAEL A STROUD

CARBONDALE, IL
NPI1720126501
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
(Licence: IL  96000511)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
-- MICHAEL A STROUD
305 W JACKSON ST STE LL02
CARBONDALE, IL 62901-1474
Phone number: 618-549-0721
Mailing Address
-- MICHAEL A STROUD
511 DOGWOOD LN
CARTERVILLE, IL 62918-1624
Phone number: 618-985-2237
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