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Individual

ROBERT MICHAELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(800) 243-3839
Mailing address
PO BOX 535775, ATLANTA, GA 30353-5510
(800) 243-3839
(865) 691-0843

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-065818
IL

Other

Enumeration date
08/22/2006
Last updated
02/11/2022
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