Organization
MIDAMERICA HEART, VASCULAR, AND VEIN SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE M SCHERRER (PRACTICE ADMINISTRATOR)
(913) 432-7474
Entity
Organization
Contact information
Practice address
7301 E FRONTAGE RD, SUITE 200, MERRIAM, KS 66204-1654
(913) 432-7474
(913) 432-3332
Mailing address
7301 E FRONTAGE RD, SUITE 200, MERRIAM, KS 66204-1654
(913) 432-7474
(913) 432-3332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327120A
—
KS
01
—
24380019
BCBS MISSOURI GROUP #
—
05
—
509696100
—
MO
Enumeration date
05/24/2006
Last updated
09/24/2008
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