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Organization

MIDWEST MEDICAL ASSOCIATES, LLC

Active
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Organization

MIDWEST MEDICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA RITA BOLISAY MD (PARTNER)
(812) 897-7383
Entity
Organization

Contact information

Practice address
1116 MILLIS AVE, SUITE 101, BOONVILLE, IN 47601-2242
(812) 897-7383
(812) 897-7236
Mailing address
1116 MILLIS AVE, SUITE 101, BOONVILLE, IN 47601-2242
(812) 897-7383
(812) 897-7236

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01047204
IN

Other

Enumeration date
09/15/2006
Last updated
10/19/2007
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