Midwest Ear Nose & Throat Clinic, S.c.

NPI #1477764942 in Herrin, Illinois

Provider Information

NPI Number: 1477764942
Entity Type: Organization
Organization Name: Midwest Ear Nose & Throat Clinic, S.c.
Primary Specialty: Otolaryngology
Enumeration Date: May 25, 2007
Last Updated: Jan 22, 2010

Practice Location

Address: 3316 PATRIOT CT
City: Herrin
State: Illinois
ZIP Code: 62948-3782
Phone: (618) 993-0307

Authorized Official

Name: DAVID MANN, M.D.
Title: OWNER
Phone: (618) 993-0307

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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