Organization
HEARTLAND WEIGHT LOSS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN A LEGRAND MD (PHYSICIAN)
(573) 803-2287
Entity
Organization
Contact information
Practice address
3095 LEXINGTON AVE STE 200, CAPE GIRARDEAU, MO 63701-2629
(573) 803-2287
Mailing address
3095 LEXINGTON AVE STE 200, CAPE GIRARDEAU, MO 63701-2629
(573) 803-2287
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
04/06/2023
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