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Organization

BENJAMIN Z. SHNURMAN D.O.,S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN Z. SHNURMAN D.O. (OWNER)
(309) 762-0476
Entity
Organization

Contact information

Practice address
615 35TH AVE, MOLINE, IL 61265-6107
(309) 762-0476
(309) 762-3673
Mailing address
615 35TH AVE, MOLINE, IL 61265-6107
(309) 762-0476
(309) 762-3673

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036082580
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036082580
IL
Enumeration date
11/20/2009
Last updated
11/20/2009
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