MIDWEST HEART GROUP OF ROLLA, LLC

ROLLA, MO
NPI1700068616
Entity TypeOrganization
Authorized ContactJOHN G. HERMANN
President
314-364-3380
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2007-12-03
Last Update Date2007-12-03
Business Address
MIDWEST HEART GROUP OF ROLLA, LLC
100 W 10TH ST SUITE 100
ROLLA, MO 65401-3248
Phone number: 573-426-6751
Mailing Address
MIDWEST HEART GROUP OF ROLLA, LLC
100 W 10TH ST SUITE 100
ROLLA, MO 65401-3248
Phone number: 573-426-6751