Most Relevant Information
Provider Data
| NPI Number: | 1003067661 |
| Provider Name: | DANA L ALTENBURGER MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | 036.127294 |
Most Important Dates
| Enumeration Date: | 10/01/2008 |
| Last Updated: | 09/10/2013 |
Provider Practice Location
1304 FRANKLIN AVE
NORMAL
IL
617613558
Practice Location Phone/Fax
| Phone: | 3092682657 |
| Fax: |
Provider Mailing Location
2163 W RAVINA PARK RD
DECATUR
IL
625263067
Provider Mailing Phone/Fax
| Phone: | 3092682657 |
| Fax: |