Organization
MIDWEST CARDIOVASCULAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINE M ADEM MD, FACC (PRESIDENT)
(636) 931-7101
Entity
Organization
Contact information
Practice address
170 INDUSTRIAL DR, STE 105, FESTUS, MO 63028-4133
(636) 931-7101
(636) 933-2383
Mailing address
10570 GLEN OAKS DR, FESTUS, MO 63028-3134
(636) 931-7101
(636) 933-2383
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507493401
—
MO
Enumeration date
10/28/2008
Last updated
12/03/2009
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