Organization Name: | MICHAEL L TREECE, MD, SC |
NPI Number: | 1659476828 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEVRA LANE TREECE (GUARDIAN) |
Mailing Address: | 19 E Shawnee Dr Murphysboro |
State: | IL US |
Postal Code: | 629667049 |
Phone Number: | 6186843342 |
Fax Number: | 6186845647 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 036056536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |