Individual
MR. MICHAEL PATRICK CHEESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-2571
Mailing address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-2571
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.002676
IL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/15/2009
Last updated
06/12/2024
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