Dwight Pentzien D.O.

NPI 1073629887 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073629887
Gender Male
Enumeration Date 08/22/2006
Last Updated 05/11/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 HEALTH CENTER DR
EMERGENCY DEPARTMENT
MATTOON IL, 61938-9253, US
Phone (217) 258-2551
Fax
Business Location
1000 HEALTH CENTER DR
EMERGENCY DEPARTMENT
MATTOON IL, 61938-9253, US
Phone (217) 258-2551
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Illinois
License Number 036-090963
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According to our database, Dwight Pentzien D.O. NPI is 1073629887, taxonomy code is 207P00000X and license number is 036-090963, license state is located at Illinois. Dwight Pentzien D.O. physically located at 1000 Health Center Dr, Mattoon IL, 61938-9253. NPI Number Dwight Pentzien D.O. has the Individual type.

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1073629887 NPI number is provided on an as is basis without warranty of any kind. 1073629887 is maintained by the National Plan & Provider Enumeration System. The contents of Dwight Pentzien D.O. are for informational purposes only.