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1033160734
BRENT W MIEDEMA
COLUMBIA, MO
NPI
1033160734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MO MDR7N00)
Enumeration Date
2006-05-15
Last Update Date
2012-07-19
Business Address
-- BRENT W MIEDEMA MD
800 HOSPITAL DR # 617
COLUMBIA, MO 65201-5275
Phone number: 573-814-6346
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Mailing Address
-- BRENT W MIEDEMA MD
800 HOSPITAL DR # 617
COLUMBIA, MO 65201-5275
Phone number: 573-814-6346
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