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Individual

DR. DAVID WAYNE POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
6653 WEAVER RD STE 116, ROCKFORD, IL 61114-8068
(815) 315-7152
Mailing address
12236 SLEEPY HOLLOW RD, ROSCOE, IL 61073-9098
(773) 339-4791

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000948
IL

Other

Enumeration date
05/18/2006
Last updated
07/05/2023
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