Individual
LARRY MICHAEL NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2951 MONTVALE DR, SUITE B, SPRINGFIELD, IL 62704-5341
(217) 726-6429
(217) 726-6786
Mailing address
2951 MONTVALE DR, SUITE B, SPRINGFIELD, IL 62704-5341
(217) 726-6429
(217) 726-6786
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
IL
Other
Enumeration date
10/27/2006
Last updated
02/04/2008
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