CHARLES W LONGWELL

MOUNT VERNON, IL
NPI1801892757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2005-06-24
Last Update Date2008-02-07
Business Address
CHARLES W LONGWELL M.D.
4218 LINCOLNSHIRE DR
MOUNT VERNON, IL 62864-2156
Phone number: 618-242-8480
Mailing Address
CHARLES W LONGWELL M.D.
PO BOX 968
MOUNT VERNON, IL 62864-0020
Phone number: 618-242-8480
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