Individual
DR. MARTIN MUSUMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008025806
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.132705
IL
Other
Enumeration date
08/28/2008
Last updated
06/24/2013
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