Individual provider · Type 1 NPI

Douglas Craig Maibenco, MD PHD

Surgery Physician · Decatur, IL

NPI number 1366424061 Active

Practice location

1730 E Lake Shore Dr
Decatur, IL 62521-3809

Call (217) 329-1000 Map

Fax (217) 329-1055

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X036098825 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1366424061

Douglas Craig Maibenco, MD PHD's National Provider Identifier is 1366424061, issued on Nov 17, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Decatur, IL. The record was last updated on Jan 6, 2022.