ANTHONY O AMIEWALAN MD

Dr ANTHONY O AMIEWALAN MD is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1987 from East Tennessee State University, Quillen-dishner College Of Medicine.

Contact

1750 E LAKE SHORE DR
SUITE 320
DECATUR
IL
625213806

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ANTHONY O AMIEWALAN MD Information

Npi 1669486668
Pac Id 1658330832
Professional Enrollment Id I20041005000034
Last Name AMIEWALAN
First Name ANTHONY
Middle Name O
Suffix
Gender M
Credential MD
Medical School Name EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE
Graduation Year 1987
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1750 E LAKE SHORE DR
Line 2 Street Address SUITE 320
Marker Of Address Line 2 Suppression
City DECATUR
State IL
Zip Code 625213806
Phone Number
Hospital Affiliation Ccn 1 140166
Hospital Affiliation Lbn 1 ST MARYS HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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