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Individual

DR. MARTA M VANSTRATEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
403 E. 1ST STREET, KATHERINE SHAW BETHEA HOSPITAL, DIXON, IL 61021
(815) 285-5580
(815) 285-5584
Mailing address
403 E. 1ST STREET, KATHERINE SHAW BETHEA HOSPITAL, DIXON, IL 61021
(815) 285-5580
(815) 285-5584

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.143928
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
BP1006276
TX
208D00000X
General Practice Physician
5101018708
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036143928
IL
01
F400444560
MEDICARE PTAN
IL
Enumeration date
06/30/2010
Last updated
09/05/2018
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