Organization
MT. AUBURN MEDICAL GROUP, LLC
Active
Other names
Mt. Auburn Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D BIESER D.O. (PHYSICIAN)
(573) 335-2212
Entity
Organization
Contact information
Practice address
150 S MOUNT AUBURN RD, SUITE 342, CAPE GIRARDEAU, MO 63703-4911
(573) 335-2212
(573) 339-5946
Mailing address
150 S MOUNT AUBURN RD, SUITE 342, CAPE GIRARDEAU, MO 63703-4911
(573) 335-2212
(573) 339-5946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1004971
MO
207Q00000X
Family Medicine Physician
Primary
104929
MO
207R00000X
Internal Medicine Physician
116768
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174611966
JEFFREY W. CHILDERS, MD
MO
01
—
1386732196
ROBERT D. BIESER, DO
MO
01
—
1467542571
PHILIP E. TIPPEN, MD
MO
Enumeration date
03/13/2008
Last updated
03/13/2008
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