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Individual

DR. MICHAEL EDWARD BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 SUNSET HILLS PROFESSIONAL CTR, EDWARDSVILLE, IL 62025-3760
(618) 656-9355
(618) 692-9880
Mailing address
2 SUNSET HILLS PROFESSIONAL CTR, EDWARDSVILLE, IL 62025-3760
(618) 656-9355
(618) 692-9880

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
07/31/2006
Last updated
07/08/2007
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