Michael P. Vercimak Mdsc

NPI #1629245527 in Mendota, Illinois

Provider Information

NPI Number: 1629245527
Entity Type: Organization
Organization Name: Michael P. Vercimak Mdsc
Primary Specialty: Surgery
Enumeration Date: May 11, 2008
Last Updated: Jun 7, 2010

Practice Location

Address: 1311 MEMORIAL DR
Address 2: SUITE 700
City: Mendota
State: Illinois
ZIP Code: 61342-1495
Phone: (815) 539-3831

Authorized Official

Name: MICHAEL PETER VERCIMAK
Title: OWNER
Phone: (815) 539-3831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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