Devin D Haertling PA-C

NPI 1144526963 - Physician Assistant - 363A00000X

NPI Details
NPI 1144526963
Gender Male
Enumeration Date 01/27/2011
Last Updated 01/27/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
4121 VETERANS MEMORIAL DR
MOUNT VERNON IL, 62864-6262, US
Phone (618) 242-3778
Fax (618) 242-2551
Business Location
4121 VETERANS MEMORIAL DR
MOUNT VERNON IL, 62864-6262, US
Phone (618) 242-3778
Fax (618) 242-2551
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085003979
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According to our database, Devin D Haertling PA-C NPI is 1144526963, taxonomy code is 363A00000X and license number is 085003979, license state is located at Illinois. Devin D Haertling PA-C physically located at 4121 Veterans Memorial Dr, Mount Vernon IL, 62864-6262. NPI Number Devin D Haertling PA-C has the Individual type.

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1144526963 NPI number is provided on an as is basis without warranty of any kind. 1144526963 is maintained by the National Plan & Provider Enumeration System. The contents of Devin D Haertling PA-C are for informational purposes only.