Individual
DR. MICHAEL IVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N 1ST ST STE D308, SPRINGFIELD, IL 62702-3757
(217) 545-4401
(217) 545-2586
Mailing address
PO BOX 19638, SPRINGFIELD, IL 62794-9638
(217) 545-4401
(217) 545-2586
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125066411
IL
Other
Enumeration date
06/11/2015
Last updated
01/12/2016
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