institution
Michael Muscatella Ltd
Foot & Ankle Surgery Podiatrist in Champaign, Illinois
NPI 1134318827

Michael Muscatella Ltd is a Foot & Ankle Surgery Podiatrist based in Champaign, IL and is specialized in Foot & Ankle Surgery. Michael Muscatella Ltd practices in Champaign, IL. The NPI Number for Michael Muscatella Ltd is 1134318827 and holds a License No. 016004109 (Illinois).

The current practice location address for Michael Muscatella Ltd is 3125 Village Office Pl, Champaign, IL and can be reached out via phone at 217-398-3338 and via fax at 217-398-4961.

Location: 3125 Village Office Pl, Champaign, IL, 61822-7673
institution
Provider Profile Details
NPI Number
1134318827
Provider Name
Michael Muscatella Ltd
Credential
Provider Entity Type
Organization
Address
3125 Village Office Pl, Champaign, IL, 61822-7673
Phone Number
217-398-3338
Fax Number
217-398-4961
Provider Enumeration Date
10/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DC3185 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3125 Village Office Pl
City
State
Zip
61822-7673
Phone Number
217-398-3338
Fax Number
217-398-4961
person
Provider Business Mailing Address Details
Address
3125 Village Office Pl
City
State
Zip
61822-7673
Phone Number
217-398-3338
Fax Number
217-398-4961
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004109 (Illinois)
Definition
Definition to come...
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