Glen J Sidler M.D.

NPI 1043298557 - Specialist - 174400000X

NPI Details
NPI 1043298557
Gender Male
Enumeration Date 01/04/2006
Last Updated 10/29/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
201 N CUMMINGS LN
WASHINGTON IL, 61571-2181, US
Phone (309) 444-2005
Fax (309) 444-2006
Business Location
201 N CUMMINGS LN
P.O. BOX 310
WASHINGTON IL, 61571-2181, US
Phone (309) 444-2005
Fax (309) 444-2006
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 036060332
Remove 1043298557 NPI Number
 

According to our database, Dr. Glen J Sidler M.D. NPI is 1043298557, taxonomy code is 174400000X and license number is 036060332, license state is located at Illinois. Glen J Sidler M.D. physically located at 201 N Cummings Ln, Washington IL, 61571-2181. NPI Number Glen J Sidler M.D. has the Individual type.

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1043298557 NPI number is provided on an as is basis without warranty of any kind. 1043298557 is maintained by the National Plan & Provider Enumeration System. The contents of Glen J Sidler M.D. are for informational purposes only.