Organization
MUSICK DERMATOLOGY & ADVANCED CLINICAL SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS ANN GLAUBER (OFFICE MANAGER)
(618) 628-2588
Entity
Organization
Contact information
Practice address
4948 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2027
(618) 628-2588
(618) 628-1363
Mailing address
4948 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2027
(618) 628-2588
(618) 628-1363
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036089938
IL
Other
Enumeration date
06/25/2008
Last updated
07/22/2020
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