Michael Allen Pauley D.M.D.

NPI 1013069913 - Dentist - 1223G0001X

NPI Details
NPI 1013069913
Gender Male
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2103 E WASHINGTON ST
SUITE 3
BLOOMINGTON IL, 61701-4310, US
Phone (309) 662-6660
Fax (309) 664-6044
Business Location
2103 E WASHINGTON ST
SUITE 3
BLOOMINGTON IL, 61701-4310, US
Phone (309) 662-6660
Fax (309) 664-6044
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019020828
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According to our database, Dr. Michael Allen Pauley D.M.D. NPI is 1013069913, taxonomy code is 1223G0001X and license number is 019020828, license state is located at Illinois. Michael Allen Pauley D.M.D. physically located at 2103 E Washington St, Bloomington IL, 61701-4310. NPI Number Michael Allen Pauley D.M.D. has the Individual type.

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1013069913 NPI number is provided on an as is basis without warranty of any kind. 1013069913 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Allen Pauley D.M.D. are for informational purposes only.