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Michael Vanantwerp, MD
Student in an Organized Health Care Education/Training Program in O Fallon, Illinois
NPI 1790349033

Michael Vanantwerp is a Student in an Organized Health Care Education/Training Program based in O Fallon, IL. Michael Vanantwerp practices in O Fallon, IL and has the professional credentials of MD. The NPI Number for Michael Vanantwerp is 1790349033 and holds a License No. 036.158946 (Illinois).

The current practice location address for Michael Vanantwerp is 320 E Highway 50, O Fallon, IL and can be reached out via phone at 888-577-6337.

Location: 320 E Highway 50, O Fallon, IL, 62269-2704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790349033
Provider Name
Michael Vanantwerp
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
320 E Highway 50, O Fallon, IL, 62269-2704
Phone Number
888-577-6337
Fax Number
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 E Highway 50
City
O Fallon
State
Illinois
Zip
62269-2704
Phone Number
888-577-6337
Fax Number
person
Provider Business Mailing Address Details
Address
320 E Highway 50
City
O Fallon
State
Illinois
Zip
62269-2704
Phone Number
888-577-6337
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4301506138 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036.158946 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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