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Organization
STEVEN G METTERNICH
Active
Organization
STEVEN G METTERNICH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN G METTERNICH PT (OWNER)
(217) 826-2365
Entity
Organization
Contact information
Practice address
410 N 2ND ST, MARSHALL, IL 62441-1010
(217) 826-2365
(217) 826-8120
Mailing address
410 N 2ND ST, MARSHALL, IL 62441-1010
(217) 826-2365
(217) 826-8120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF1743
RAILROAD MEDICARE PIN
IL
01
—
DF8520
NEW RAILROAD MEDICARE PIN
IL
Enumeration date
03/11/2008
Last updated
03/11/2008
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