MIA THOUVENOT, DPM, Surgery, Foot & Ankle HIGHLAND, IL

Contact Information

MIA THOUVENOT, DPM

12866 TROXLER AVE
HIGHLAND, IL 62249

Phone: 618-236-7444
Fax: 618-726-7444
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgery, Foot & Ankle	213ES0103X	48	Podiatry
Podiatrist	213E00000X	48	Podiatry

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NPI Profile & details for MIA THOUVENOT · (Female)

NPI Number	`1396173753`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	10/23/2013
Last updated	07/02/2019 - About 7 years ago
Sole proprietor ¹	No
Identifiers	IL License # 016.005750 MO License # 2013034538 MO License # 2014021282
Hospital affiliation(s)	PINCKNEYVILLE COMMUNITY HOSPITAL - (Critical Access) 101 N WALNUT PINCKNEYVILLE, IL 62274 ST JOSEPH'S HOSPITAL - (Critical Access) 12866 TROXLER AVENUE HIGHLAND, IL 62249

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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MIA THOUVENOT, DPM – NPI #1396173753Surgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

Podiatrist

NPI Profile & details for MIA THOUVENOT · (Female)

Reviews for MIA THOUVENOT

MIA THOUVENOT, DPM – NPI #1396173753
Surgery, Foot & Ankle