# MIDWEST ORTHOPEDIC SPECIALISTS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356863567
- **Authorized official:** MRS. AMY L HADEN (W-2 EMPLOYEE)
- **Authorized official phone:** (573) 248-1010

## Contact information

- **Practice address:** 927 BROADWAY ST STE 130, QUINCY, IL 62301-2715
- **Practice address phone:** (217) 228-9422
- **Mailing address:** 188 MEDICAL DR, HANNIBAL, MO 63401-6877
- **Mailing address phone:** (573) 248-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2017
- **Last updated:** 07/10/2017