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Individual

DR. ANDREW MICHAEL SKINNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-3328
(801) 581-7606
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3135
(708) 216-8198

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125063206
IL
207RI0200X
Infectious Disease Physician
Primary
036140497
IL

Other

Enumeration date
07/26/2013
Last updated
05/08/2024
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