Individual
WILLIAM MICHAEL DAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 N. 1ST STREET, SPRINGFIELD, IL 62702
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-002675
IL
Other
Enumeration date
02/08/2007
Last updated
08/13/2008
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