Individual
STEPHANIE R MIGNANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
611 W PARK, FAPC, URBANA, IL 61802
(217) 902-6954
(217) 902-7711
Mailing address
611 W PARK, FAPC, URBANA, IL 61802
(217) 902-6954
(217) 902-7711
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016006090
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016006090
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006817
PA
Other
Enumeration date
07/05/2017
Last updated
01/16/2025
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