Individual
MEGAN CLARA PUNCHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 N 27TH ST, BELLEVILLE, IL 62226-6621
(618) 235-6600
Mailing address
150 N 27TH ST, BELLEVILLE, IL 62226-6621
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1602021296579
IL
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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