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1821611526
MICHELLE EIDE
SPRINGFIELD, IL
NPI
1821611526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 125076664)
Enumeration Date
2020-05-28
Last Update Date
2020-05-28
Business Address
MICHELLE EIDE MD
415 N 9TH ST
SPRINGFIELD, IL 62702-5303
Phone number: 217-545-8000
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Mailing Address
MICHELLE EIDE MD
PO BOX 19640
SPRINGFIELD, IL 62794-9640
Phone number: 217-545-7958
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