Individual
MITCHELL LOUIS HEUERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 N BOND ST, SPRINGFIELD, IL 62702-4952
(309) 265-1942
Mailing address
720 N BOND ST, SPRINGFIELD, IL 62702-4952
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036.164552
IL
207Y00000X
Otolaryngology Physician
Primary
2023047886
MO
Other
Enumeration date
05/31/2018
Last updated
02/06/2026
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