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Individual

DR. JAMES ALVIN ENDERLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
611 W. PARK STREET, URBANA, IL 61801-2500
(217) 383-3313
(217) 383-4014
Mailing address
611 W. PARK. ST., URBANA, IL 61801-2500
(217) 383-6941

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301092898
MI

Other

Enumeration date
06/30/2008
Last updated
05/12/2014
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