Individual
DR. ALPHEUS T APPENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
KSB MEDICAL GROUP, 102 S HENNEPIN AVE, DIXON, IL 61021
(815) 288-7711
(815) 285-8903
Mailing address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 285-8504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-058868
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036-058868
IL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
036-058868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058868
—
IL
Enumeration date
01/23/2006
Last updated
08/27/2018
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