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1790878809
DONALD E MITZELFELT
PEORIA, IL
NPI
1790878809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036039927)
Enumeration Date
2006-10-02
Last Update Date
2007-07-09
Business Address
Dr. DONALD E MITZELFELT MD
3915 BARRING TRACE
PEORIA, IL 61615
Phone number: 309-689-3030
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Mailing Address
Dr. DONALD E MITZELFELT MD
1120 E WAR MEMORIAL DR
PEORIA HEIGHT, IL 61616
Phone number: 309-685-0100
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