Individual
MICHAEL A COVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3408 OFFICE PARK DR, MARION, IL 62959-6477
(618) 997-5266
(618) 997-5285
Mailing address
3408 OFFICE PARK DR, MARION, IL 62959-6477
(618) 997-5266
(618) 997-5285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036114761
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114761
—
IL
01
—
208042001
MEDICARE PTAN
IL
Enumeration date
05/01/2006
Last updated
12/27/2011
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