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Dr. Thomas L. Michalsen, DO
General Practice Physician in Kirkland, Illinois
NPI 1114947876

Thomas L. Michalsen is a General Practice Physician based in Rockford, IL. Thomas L. Michalsen practices in Kirkland, IL and has the professional credentials of DO. The NPI Number for Thomas L. Michalsen is 1114947876 and holds a License No. 036066772 (Illinois).

The current practice location address for Thomas L. Michalsen is 406 S 5Th St, Kirkland, IL and can be reached out via phone at 815-522-3301 and via fax at 815-522-3855.

Location: 406 S 5Th St, Kirkland, IL, 61108-7011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114947876
Provider Name
Thomas L. Michalsen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
406 S 5Th St, Kirkland, IL, 61108-7011
Phone Number
815-522-3301
Fax Number
815-522-3855
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036066772 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
406 S 5Th St
City
Kirkland
State
Illinois
Zip
60146-7711
Phone Number
815-522-3301
Fax Number
815-522-3855
person
Provider Business Mailing Address Details
Address
406 S 5Th St
City
Kirkland
State
Illinois
Zip
60146-7711
Phone Number
815-522-3301
Fax Number
815-522-3855
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
036066772 (Illinois)
Definition
Definition to come...
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