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Individual

MICHAEL ALBERT NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
0N025 WINFIELD RD, WINFIELD, IL 60190-1237
(630) 933-4240
(630) 933-2675
Mailing address
0S574 REBECCA LN, WINFIELD, IL 60190-1500
(630) 665-1834
(630) 665-1835

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K02048
MPIN
Enumeration date
12/06/2006
Last updated
07/08/2007
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