Susan M Mettille, PA-C

NPI #1790727410 in Peoria, Illinois

Provider Information

NPI Number
1790727410
Entity Type
Individual
Name
Susan M Mettille, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 11, 2006
Last Updated
Feb 19, 2008

Practice Location

Address
2805 N KNOXVILLE AVE
City
Peoria
ZIP Code
61604-2869
Phone
(309) 624-9400

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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