ANTHONY MIKSANEK

BENTON, IL
NPI1992760177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-064149)
Enumeration Date2006-04-19
Last Update Date2007-09-19
Business Address
-- ANTHONY MIKSANEK M.D.
203 BAILEY LN
BENTON, IL 62812-1969
Phone number: 618-438-3621
Mailing Address
-- ANTHONY MIKSANEK M.D.
203 BAILEY LN
BENTON, IL 62812-1969
Phone number: 618-438-3621
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