Individual
DR. JAMES MELVIN SEVERSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 N MULFORD RD, SUITE 10, ROCKFORD, IL 61107-5189
(815) 399-5268
(815) 399-3623
Mailing address
435 N MULFORD RD, SUITE 10, ROCKFORD, IL 61107-5189
(815) 399-5268
(815) 399-3623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/24/2006
Last updated
09/25/2007
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