MR. Michael Lee Waters, MD

NPI #1477536993 in Macomb, Illinois

Provider Information

NPI Number
1477536993
Entity Type
Individual
Name
MR. Michael Lee Waters, MD
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Family Medicine
Credential
MD
Enumeration Date
Nov 29, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
505 E GRANT ST
Address 2
SUITE 110
City
Macomb
ZIP Code
61455-3352
Phone
(309) 833-1733

Specialties & Taxonomy Codes

Specialty
Family Medicine

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