Individual
DR. DANIEL W PALMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NE GLEN OAK AVE, SUITE 408, PEORIA, IL 61603-4314
(309) 672-3158
(309) 672-3114
Mailing address
2205 VIRGINIA AVE, CONNERSVILLE, IN 47331-4314
(765) 827-8064
(765) 825-6999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036085061
IL
Other
Enumeration date
08/24/2006
Last updated
09/20/2012
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