Michael C Michelotti, MD

NPI #1912991688 in Rockford, Illinois

Provider Information

NPI Number: 1912991688
Entity Type: Individual
Name: Michael C Michelotti, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Sep 8, 2005
Last Updated: Dec 2, 2009

Practice Location

Address: 2350 N ROCKTON AVE
City: Rockford
State: Illinois
ZIP Code: 61103-3600
Phone: (815) 963-3426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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