SUSAN PROVOW

ROCK FALLS, IL
NPI1861580128
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
SUSAN PROVOW M.D.
100 W 1ST ST
ROCK FALLS, IL 61071-1269
Phone number: 815-625-4790
Mailing Address
SUSAN PROVOW M.D.
101 E MILLER RD
STERLING, IL 61081-1252
Phone number: 815-625-4790
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