JEREMY MEDLER

CHAMPAIGN, IL
NPI1922159110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  85002513)
Enumeration Date2007-01-15
Last Update Date2014-05-07
Business Address
-- JEREMY MEDLER PA
1701 W. CURTIS ROAD DERMATOLOGY
CHAMPAIGN, IL 61822
Phone number: 217-365-6204
Mailing Address
-- JEREMY MEDLER PA
611 W PARK ST BWPC
URBANA, IL 61801-2529
Phone number: 217-383-6792
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