NPI Profile for DAVID G MIDLICK in WOODRIDGE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular-Interventional Technology |
2471C1101X |
| NPI # | 1477673275 |
|
| Status | Active | |
| Credentials | C.C.T,BA | |
| Entity | Individual | |
| Enumeration date | 03/29/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DAVID G MIDLICK
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