DR. Stanley J Sidwell IV, MD

NPI #1073529475 in Alton, Illinois

Provider Information

NPI Number: 1073529475
Entity Type: Individual
Name: DR. Stanley J Sidwell IV, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jul 31, 2006
Last Updated: Dec 16, 2019

Practice Location

Address: 1 MEMORIAL DR
City: Alton
State: Illinois
ZIP Code: 62002-6722
Phone: (618) 463-7240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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