Individual
DR. WILLIAM MARK IMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
1234 RHODODENDRON DR, SUITE 1-B, FLORENCE, OR 97439-7406
(541) 902-8860
(541) 902-8860
Mailing address
PO BOX 2746, FLORENCE, OR 97439-0165
(541) 902-8860
(541) 902-8860
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
686
OR
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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