Individual
DR. DANIEL ANSBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-3757
(309) 655-2000
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125071895
IL
2085N0700X
Neuroradiology Physician
Primary
036169809
IL
2085R0202X
Diagnostic Radiology Physician
61434708
WA
Other
Enumeration date
06/06/2018
Last updated
07/22/2024
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