Organization
FORSYTH FAMILY MEDICAL CLINIC, LLC
Active
Organization
FORSYTH FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA LOUISE WYMAN FNP (FNP / OWNER)
(417) 546-2590
Entity
Organization
Contact information
Practice address
10726 E HWY 76, STE. G, FORSYTH, MO 65653
(417) 546-2590
(417) 546-2594
Mailing address
PO BOX 1239, FORSYTH, MO 65653-1239
(417) 546-2590
(417) 546-2594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
120158
MO
Other
Enumeration date
06/18/2010
Last updated
04/23/2012
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