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Individual

VICTORIA C VOEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1414 WOODBINE RD, BLOOMINGTON, IL 61704-2817
(309) 662-2273
(309) 662-2014
Mailing address
1414 WOODBINE RD, BLOOMINGTON, IL 61704-2817
(309) 662-2273
(309) 662-2014

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000377
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
833120
MEDICARE GROUP #
IL
Enumeration date
09/16/2005
Last updated
04/11/2018
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