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Organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Active
Organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Active
Other names
Hannibal Clinic @ Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J BUKSTEIN MD (PHYSICIAN EXECUTIVE DIRECTOR)
(573) 231-3172
Entity
Organization
Contact information
Practice address
401 E HIGHWAY 19, CENTER, MO 63436-1044
(573) 267-3318
(573) 267-3933
Mailing address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
04/18/2022
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