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1871114371
JUSTIN MICHAEL
SPRINGFIELD, IL
NPI
1871114371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: IL 125075943)
Enumeration Date
2020-05-06
Last Update Date
2020-05-06
Business Address
Dr. JUSTIN MICHAEL MD
701 N 1ST ST STE D-319
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-8863
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Mailing Address
Dr. JUSTIN MICHAEL MD
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number:
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