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Organization

MIDWEST SURGICAL SPECIALTIES PC

Active
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Organization

MIDWEST SURGICAL SPECIALTIES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA GRIMSHAW (MANAGER)
(660) 385-1008
Entity
Organization

Contact information

Practice address
1706 PROSPECT DR, MACON, MO 63552-2615
(660) 385-1008
Mailing address
1706 PROSPECT DR, PO BOX 402, MACON, MO 63552-2615
(660) 385-1008

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—

Other

Enumeration date
02/24/2016
Last updated
02/24/2016
About Stedi
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  • EDI platform