Organization
MICHAEL L TREECE, MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEVRA LANE TREECE (GUARDIAN)
(618) 534-5962
Entity
Organization
Contact information
Practice address
19 E SHAWNEE DR, MURPHYSBORO, IL 62966-7049
(618) 684-3342
(618) 684-5647
Mailing address
19 E SHAWNEE DR, MURPHYSBORO, IL 62966-7049
(618) 684-3342
(618) 684-5647
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036056536
IL
Other
Enumeration date
09/13/2006
Last updated
08/14/2008
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