# MT. AUBURN MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt. Auburn Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306017769
- **Authorized official:** DR. ROBERT D BIESER D.O. (PHYSICIAN)
- **Authorized official phone:** (573) 335-2212

## Contact information

- **Practice address:** 150 S MOUNT AUBURN RD, SUITE 342, CAPE GIRARDEAU, MO 63703-4911
- **Practice address phone:** (573) 335-2212
- **Practice address fax:** (573) 339-5946
- **Mailing address:** 150 S MOUNT AUBURN RD, SUITE 342, CAPE GIRARDEAU, MO 63703-4911
- **Mailing address phone:** (573) 335-2212
- **Mailing address fax:** (573) 339-5946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1004971 | MO | — |
| 207Q00000X | Family Medicine Physician | 104929 | MO | Yes |
| 207R00000X | Internal Medicine Physician | 116768 | MO | — |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008