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Organization

PHYSICIAN ASSOCIATES LIMITED

Active
Other names
D/B/A Cherry Valley Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS L MICHALSEN D.O. (PRESIDENT)
(815) 229-2500
Entity
Organization

Contact information

Practice address
1848 DAIMLER RD, ROCKFORD, IL 61112-1019
(815) 229-2500
(815) 398-9587
Mailing address
1848 DAIMLER RD, ROCKFORD, IL 61112-1019
(815) 229-2500
(815) 316-1881

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/26/2006
Last updated
08/13/2008
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