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Individual

DOUGLAS S SHROYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
221 RAILROAD AVE RTE 48, BLUE MOUND, IL 62513
(217) 692-2097
(217) 692-2102
Mailing address
221 RAILROAD AVE RT 48, P.O. BOX 376, BLUE MOUND, IL 62513
(217) 692-2097
(217) 692-2102

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
09/08/2006
Last updated
07/08/2007
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