Individual
MICHAEL DAVID NOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 902-7527
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036166042
IL
208600000X
Surgery Physician
036166042
IL
Other
Enumeration date
06/29/2015
Last updated
11/06/2025
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