Anthony O Amiewalan Md, Sc

NPI #1053543215 in Decatur, Illinois

Provider Information

NPI Number: 1053543215
Entity Type: Organization
Organization Name: Anthony O Amiewalan Md, Sc
Primary Specialty: Legal Medicine
Enumeration Date: Aug 20, 2009
Last Updated: Mar 27, 2025

Practice Location

Address: 2965 N MAIN ST STE A
City: Decatur
State: Illinois
ZIP Code: 62526-4397
Phone: (217) 422-0560

Authorized Official

Name: DR. ANTHONY O AMIEWALAN, MD
Title: DOCTOR
Phone: (217) 422-0560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Legal Medicine	173000000X	Primary

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