Individual
DR. MIGUEL A AGUILERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N PLEASANT AVE, CENTRALIA, IL 62801-3098
(618) 436-6318
(618) 436-6386
Mailing address
400 N PLEASANT AVE, CENTRALIA, IL 62801-3098
(618) 436-6318
(618) 436-6386
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
67178
WI
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
036072026
IL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
67178
WI
Other
Enumeration date
04/15/2008
Last updated
02/08/2022
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