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Individual

DR. DAVID MICHAEL WATERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
710 N FAIRBANKS CT STE 2-458, CHICAGO, IL 60611-3013
(312) 926-3211
(312) 503-8259
Mailing address
710 N FAIRBANKS CT STE 2-458, CHICAGO, IL 60611-3013
(312) 926-3211
(312) 503-8259

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036148254
IL

Other

Enumeration date
03/28/2016
Last updated
08/26/2022
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