Individual
MATTIE ARSENEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 383-3240
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PG183132
OR
2086S0127X
Trauma Surgery Physician
Primary
036171507
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2017
Last updated
11/08/2024
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