Individual
DR. MIKE L FUESTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1004 N GILBERT ST, DANVILLE, IL 61832-3849
(217) 442-4267
(217) 442-4284
Mailing address
1004 N GILBERT ST, DANVILLE, IL 61832-3849
(217) 442-4267
(217) 442-4284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/27/2005
Last updated
07/08/2007
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