Individual
DR. DANA L ALTENBURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 268-2657
Mailing address
2163 W RAVINA PARK RD, DECATUR, IL 62526-3067
(309) 268-2657
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.127294
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2008
Last updated
09/10/2013
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