Individual
DR. DONALD STANLEY MIEZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 E BURLINGTON ST, RIVERSIDE, IL 60546-2149
(708) 442-1859
(708) 442-1867
Mailing address
347 E BURLINGTON ST, RIVERSIDE, IL 60546-2149
(708) 442-1859
(708) 442-1867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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