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Individual

CALVIN E ATWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
870 36TH AVE, MOLINE, IL 61265-7159
(309) 281-6400
(309) 281-6409
Mailing address
870 36TH AVE, MOLINE, IL 61265-7159
(309) 281-6400
(309) 281-6409

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036079520
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891740882
MMSA NPI #
IA
01
1891740882
MMSA NPI #
IL
05
3237461
IA
Enumeration date
01/27/2006
Last updated
12/05/2024
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