Individual
DR. MICHAEL MUSCATELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(217) 383-9400
(217) 383-9692
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004109
—
IL
01
—
5235230001
DMERC
—
01
—
P00161178
RR MCR
—
Enumeration date
09/11/2006
Last updated
08/05/2025
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