# STRATUS MEDICAL GROUP

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

## Provider details

- **NPI number:** 1639616113
- **Authorized official:** DR. LAUREN DENISE BLACKWELDER MD (OWNER)
- **Authorized official phone:** (573) 475-7333

## Contact information

- **Practice address:** 2010 N MAIN ST, SIKESTON, MO 63801-8478
- **Practice address phone:** (573) 475-7333
- **Mailing address:** 2010 N MAIN ST, SIKESTON, MO 63801-8478
- **Mailing address phone:** (573) 475-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 114108 | MO | Yes |

## Other

- **Enumeration date:** 01/23/2017
- **Last updated:** 01/23/2017