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Individual

DR. MICHAEL DAVIS ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4440 W 95TH ST, EMERGENCY DEPARTMENT, OAK LAWN, IL 60453-2600
(708) 684-5375
Mailing address
4440 W 95TH ST, EMERGENCY DEPARTMENT, OAK LAWN, IL 60453-2600
(708) 684-5375

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036119930
IL

Other

Enumeration date
04/02/2008
Last updated
12/17/2021
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