MIA OF ST CHARLES COUNTY LLC

SAINT CHARLES, MO
NPI1922093632
Entity TypeOrganization
Authorized ContactSTEVEN MICHAEL MCRAE
Managing Member
618-659-1167
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2005-09-19
Last Update Date2020-08-22
Business Address
MIA OF ST CHARLES COUNTY LLC
1475 KISKER RD STE 145
SAINT CHARLES, MO 63304-8781
Phone number: 636-922-5151
Mailing Address
MIA OF ST CHARLES COUNTY LLC
PO BOX 868
EDWARDSVILLE, IL 62025-0868
Phone number: 618-659-1167
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