Organization
DIXON ANESTHESIA ASSOCIATED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W. STEPHEN MINORE MD (OWNER)
(815) 282-3700
Entity
Organization
Contact information
Practice address
403 E 1ST ST, DIXON, IL 61021-3116
(815) 288-5531
Mailing address
2202 HARLEM RD, LOVES PARK, IL 61111-2754
(815) 282-3700
(815) 877-8110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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