Individual
PATRICIA TESCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2227 VADALABENE DR STE 300, MARYVILLE, IL 62062-5824
(618) 391-5320
(618) 391-5321
Mailing address
6810 STATE ROUTE 162, BOX 215, MARYVILLE, IL 62062
(618) 391-6495
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036151663
IL
208600000X
Surgery Physician
MD-45762
IA
Other
Enumeration date
05/29/2012
Last updated
08/28/2024
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