Individual
MARIO MICHAEL MISSEHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
(630) 862-3085
Mailing address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
(630) 862-3085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-007765
IL
Other
Enumeration date
08/14/2019
Last updated
06/23/2023
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