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1811005382
MIKE HORST HACKMANN
QUINCY, IL
NPI
1811005382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036101262)
Enumeration Date
2006-08-26
Last Update Date
2007-07-08
Business Address
Dr. MIKE HORST HACKMANN M.D.
721 BROADWAY ST
QUINCY, IL 62301-2708
Phone number: 217-224-3366
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Mailing Address
Dr. MIKE HORST HACKMANN M.D.
2007 HAMPSHIRE ST
QUINCY, IL 62301-3147
Phone number: 217-224-4878
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