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Individual

MICHELLE BURWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2 GOOD SAMARITAN WAY STE 420, MOUNT VERNON, IL 62864-2478
(618) 899-4000
(618) 899-4790
Mailing address
2 GOOD SAMARITAN WAY STE 420, MOUNT VERNON, IL 62864-2478
(618) 899-4000
(618) 899-4790

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
IL

Other

Enumeration date
06/06/2006
Last updated
11/12/2020
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