Organization
MID AMERICA HEART, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN L LINTZENICH LPN (OFFICE MANAGER)
(618) 632-1495
Entity
Organization
Contact information
Practice address
310 N SEVEN HILLS RD, SUITE 150, O FALLON, IL 62269-4111
(618) 632-1495
(618) 628-0480
Mailing address
310 N SEVEN HILLS RD, SUITE 150, O FALLON, IL 62269-4111
(618) 632-1495
(618) 628-0480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/12/2008
Last updated
10/17/2008
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