BRYAN MICHAEL MISTRETTA

SPRINGFIELD, IL
NPI1932722006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  125076122)
Enumeration Date2020-05-25
Last Update Date2020-05-25
Business Address
BRYAN MICHAEL MISTRETTA DO
701 N 1ST ST STE D308
SPRINGFIELD, IL 62702-3757
Phone number: 217-545-4401
Mailing Address
BRYAN MICHAEL MISTRETTA DO
PO BOX 19638
SPRINGFIELD, IL 62794-9638
Phone number:
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