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Contact Information

M A GRIFFITH, MD
1701 EAST COLLEGE AVE
BLOOMINGTON, IL61701
 Phone: 309-664-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for M A GRIFFITH · (Male)

NPI # 1801826235
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 04/02/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036051930
  • IL Other 0533210001 DMERC
  • IL Other P00371726 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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