| NPI | 1295287928 |
|---|---|
| Doing Business As | MIDWEST EXPRESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JUDITH M SCOTT Billing Man Ger 219-440-7373 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01076077A) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |