Individual
MRS. CHRISTINE WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2704 N CENTER ST, MARYVILLE, IL 62062-5624
(618) 288-0656
Mailing address
2704 N CENTER ST, MARYVILLE, IL 62062-5624
(618) 288-0656
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
85-000841
IL
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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