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Organization
MIDWEST ORTHOPEDIC SERVICES SC
Active
Organization
MIDWEST ORTHOPEDIC SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRON B. STACHNIW M.D. (PRESIDENT)
(309) 341-1300
Entity
Organization
Contact information
Practice address
834 N SEMINARY ST, SUITE #406, GALESBURG, IL 61401-2852
(309) 341-1300
Mailing address
834 N SEMINARY ST, SUITE #406, GALESBURG, IL 61401-2852
(309) 341-1300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/01/2006
Last updated
01/29/2010
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