Individual
MICHAEL J. NONNENMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.,LTD.
Contact information
Practice address
2513 24TH STREET, ROCK ISLAND, IL 61201
(309) 794-9365
(309) 794-9903
Mailing address
2513 24TH STREET, ROCK ISLAND, IL 61201
(309) 794-9365
(309) 794-9903
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19014944
IL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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