Individual
AMBER MICHELE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4192
(217) 876-8121
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-8121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.135468
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/15/2011
Last updated
10/20/2020
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