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Individual

DR. MICHAEL WESLEY NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6200
(618) 242-5054
Mailing address
3 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6200
(618) 242-5054

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030185
IL

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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