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Individual

DR. W ANTHONY SAUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 MAIN ST, SUITE 200, PEORIA, IL 61606-1907
(309) 672-5682
(309) 672-3147
Mailing address
1001 MAIN ST, SUITE 200, PEORIA, IL 61606-1907
(309) 672-5682
(309) 672-3147

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036068961
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036068961
IL
Enumeration date
10/26/2005
Last updated
01/21/2009
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