ANTHONY O AMIEWALAN MD, SC

Legal Medicine

Active Organization
NPI: 1053543215

Practice Address

2965 N MAIN ST STE A
Decatur, IL 62526

Phone: (217) 422-0560

Specialties

Specialty Code Primary License
Clinic/Center 261Q00000X No -
Clinic/Center - Health Service 261QH0100X No -
Legal Medicine 173000000X Yes 036112019 (IL)

Frequently Asked Questions

NPI 1053543215 is the National Provider Identifier for ANTHONY O AMIEWALAN MD, SC, a Legal Medicine provider located in Decatur, IL. This NPI was enumerated on August 20, 2009.

Quick Facts

NPI
1053543215
Type
Organization
Enumerated
Aug 20, 2009
Last Updated
Mar 27, 2025

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