# MYRIAM ENSLING, M.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Laennec Internal Medicine and Obesity Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740424720
- **Authorized official:** DR. MYRIAM C ENSLING M.D. (PHYSICIAN, OWNER)
- **Authorized official phone:** (573) 581-1962

## Contact information

- **Practice address:** 201 E MONROE ST, MEXICO, MO 65265-2852
- **Practice address phone:** (573) 581-1962
- **Practice address fax:** (573) 581-5000
- **Mailing address:** 201 E MONROE ST, MEXICO, MO 65265-2852
- **Mailing address phone:** (573) 581-1962
- **Mailing address fax:** (573) 581-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/22/2009
- **Last updated:** 04/22/2009
