THOMAS L. MICHALSEN DO LTD
Osteopathic Medicine at 5 St, Fairdale, IL

License number
Illinois 036096167
Category
Osteopathic Medicine
Type
Family Medicine
License number
Illinois 036066772
Category
Osteopathic Medicine
Type
General Practice
Owner
Name: DR. THOMAS L MICHALSEN D.O.
Title: PRESIDENT
Phone: (815) 522-3301
Address
Address
406 SOUTH 5Th St, Fairdale, IL 60146
National Provider ID: 1841214368
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THOMAS L. MICHALSEN DO LTD at bizstanding.com

THOMAS L. MICHALSEN, DO, LTD

Kirkland, IL 60146

Registration:
Jan 15, 2002
State ID:
61954406
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Debra A Gay,6775 Fincham Dr STE 2, Rockford, IL 61108 (Physical)

Osteopathic Medicine licenses in Illinois

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