| NPI | 1790440477 |
|---|---|
| Doing Business As | MIDWEST EXPRESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MILAP SHAH Owner 219-802-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |