Individual
MATTHEW P DATZMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 KANE RD, ELDORADO, IL 62930-3736
(618) 268-6212
Mailing address
105 KANE RD, ELDORADO, IL 62930-3736
(618) 268-6212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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