Organization
MICHAEL MUSCATELLA LTD
Active
Other names
Family Foot & Ankle Center of champaign
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MUSCATELLA DPM (PRESIDENT)
(217) 398-3338
Entity
Organization
Contact information
Practice address
3125 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822-7673
(217) 398-3338
(217) 398-4961
Mailing address
3125 VILLAGE OFFICE PL, CHAMPAIGN, IL 61822-7673
(217) 398-3338
(217) 398-4961
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3185
RAILROAD MEDICARE
—
Enumeration date
10/18/2007
Last updated
03/22/2010
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