Organization
MICHAEL P. VERCIMAK MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETER VERCIMAK (OWNER)
(815) 539-3831
Entity
Organization
Contact information
Practice address
1311 MEMORIAL DR, SUITE 700, MENDOTA, IL 61342-1495
(815) 539-3831
(815) 538-4202
Mailing address
1311 MEMORIAL DR, SUITE 700, MENDOTA, IL 61342-1495
(815) 539-3831
(815) 538-4202
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036067743
IL
Other
Enumeration date
05/11/2008
Last updated
06/07/2010
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