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Individual

DR. BARRY ALLAN WERRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4800 MAINE ST, QUINCY, IL 62305-5875
(217) 214-0444
Mailing address
1005 BROADWAY ST STE B104, QUINCY, IL 62301-2834
(217) 223-8400

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036097626
IL
207X00000X
Orthopaedic Surgery Physician
ME130969
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02332270
FL
05
036097626
IL
01
200032257
RR MEDICARE
IL
01
JG213Z
MEDICARE -FL
FL
Enumeration date
01/13/2006
Last updated
06/04/2024
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