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Individual

DR. DAVID MICHAEL FUHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
505 W RAAB RD, NORMAL, IL 61761-1007
(309) 454-7347
Mailing address
706 N PROSPECT MANOR AVE, MT PROSPECT, IL 60056-2052
(847) 504-6713

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294833
IL

Other

Enumeration date
09/23/2011
Last updated
09/23/2011
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