Micheal Gandolfi, DR.

NPI #1619182854 in Charleston, Illinois

Provider Information

NPI Number
1619182854
Entity Type
Individual
Name
Micheal Gandolfi, DR.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
DR.
Enumeration Date
May 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2115 18TH ST
ZIP Code
61920-4338
Phone
(217) 345-4065

Specialties & Taxonomy Codes

Specialty
Chiropractor

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