Michael Vanantwerp, MD

NPI #1790349033 in O Fallon, Illinois

Provider Information

NPI Number: 1790349033
Entity Type: Individual
Name: Michael Vanantwerp, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Apr 23, 2019
Last Updated: Jun 15, 2022

Practice Location

Address: 320 E HIGHWAY 50
City: O Fallon
State: Illinois
ZIP Code: 62269-2704
Phone: (888) 577-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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