David Joseph Powers M.D.

NPI 1003804006 - Surgery - 208600000X

NPI Details
NPI 1003804006
Gender Male
Enumeration Date 10/12/2005
Last Updated 05/17/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
102 S HENNEPIN AVENUE
KSB MEDICAL GROUP/TOWN SQUARE CENTER
DIXON IL, 61021-0000, US
Phone (815) 288-1035
Fax (815) 284-0584
Business Location
102 S HENNEPIN AVENUE
KSB MEDICAL GROUP/TOWN SQUARE CENTER
DIXON IL, 61021-0000, US
Phone (815) 288-1035
Fax (815) 284-0584
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 036082587
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According to our database, David Joseph Powers M.D. NPI is 1003804006, taxonomy code is 208600000X and license number is 036082587, license state is located at Illinois. David Joseph Powers M.D. physically located at 102 S Hennepin Avenue, Dixon IL, 61021-0000. NPI Number David Joseph Powers M.D. has the Individual type.

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1003804006 NPI number is provided on an as is basis without warranty of any kind. 1003804006 is maintained by the National Plan & Provider Enumeration System. The contents of David Joseph Powers M.D. are for informational purposes only.