Individual
MICHAEL BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6812 STATE ROUTE 162, SUITE 120, MARYVILLE, IL 62062-8553
(618) 288-0044
(618) 288-0066
Mailing address
6812 STATE ROUTE 162, SUITE 120, MARYVILLE, IL 62062-8553
(618) 288-0044
(618) 288-0066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006179
IL
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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