Individual
DR. MICHAEL ROBERT DURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1111 E WALNUT ST, CARBONDALE, IL 62901-5006
(618) 529-2471
(618) 529-2482
Mailing address
1111 E WALNUT ST, CARBONDALE, IL 62901-5006
(618) 529-2471
(618) 529-2482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-015765
IL
Other
Enumeration date
08/15/2006
Last updated
05/23/2013
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