Individual
MEGAN ELIZABETH MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(480) 296-6089
Mailing address
715 FOLEY AVE, CHAMPAIGN, IL 61820-5807
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
125082266
IL
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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