Individual
DR. MICHAEL M. BELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2905 N. MAIN STREET, DECATURE, IL 62526-4274
(217) 877-9117
(217) 877-3078
Mailing address
2905 N. MAIN STREET, DECATUR, IL 62526-4274
(217) 877-9117
(217) 877-3082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2006-0962
NC
207QA0505X
Adult Medicine Physician
Primary
036.060478
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.060478
—
IL
Enumeration date
12/12/2006
Last updated
06/27/2012
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