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Dermatology And Mohs Surgery Institute, Ltd.
Specialist in Bloomington, Illinois
NPI 1770828626

Dermatology And Mohs Surgery Institute, Ltd. is a Specialist based in Bloomington, IL. Dermatology And Mohs Surgery Institute, Ltd. practices in Bloomington, IL. The NPI Number for Dermatology And Mohs Surgery Institute, Ltd. is 1770828626 and holds a License No. 036.129240 (Illinois).

The current practice location address for Dermatology And Mohs Surgery Institute, Ltd. is 3024 E Empire St, Bloomington, IL and can be reached out via phone at 309-678-9596.

Location: 3024 E Empire St, Bloomington, IL, 61704-5402
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770828626
Provider Name
Dermatology And Mohs Surgery Institute, Ltd.
Credential
Provider Entity Type
Organization
Address
3024 E Empire St, Bloomington, IL, 61704-5402
Phone Number
309-678-9596
Fax Number
Provider Enumeration Date
12/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3024 E Empire St
City
Bloomington
State
Illinois
Zip
61704-5402
Phone Number
309-678-9596
Fax Number
person
Provider Business Mailing Address Details
Address
3024 E Empire St
City
Bloomington
State
Illinois
Zip
61704-5402
Phone Number
309-678-9596
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036.129240 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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