Individual
DR. MICHAEL GENE PHILLIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 N ALLEN ST, ROBINSON, IL 62454-1168
(618) 544-3699
(618) 546-7636
Mailing address
1101 N ALLEN ST, ROBINSON, IL 62454-1168
(618) 544-3699
(618) 546-7636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036055265
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055265
—
IL
Enumeration date
12/01/2005
Last updated
07/10/2014
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