MIDWEST MEDICINE GROUP, LLC

CHESTERFIELD, MO
NPI1528336518
Entity TypeOrganization
Authorized ContactMANISHA PATWARDHAN
Owner
314-375-6630
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  2000169533)
Enumeration Date2011-12-06
Last Update Date2011-12-06
Business Address
MIDWEST MEDICINE GROUP, LLC
14314 MANDERLEIGH WOODS DR
CHESTERFIELD, MO 63017-8055
Phone number: 636-566-8155
Mailing Address
MIDWEST MEDICINE GROUP, LLC
PO BOX 958946
SAINT LOUIS, MO 63195-8946
Phone number: 636-566-8155
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