Organization
MIDWEST SCOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SEBASTIAN MD (OWNER)
(812) 471-4110
Entity
Organization
Contact information
Practice address
1401 PROFESSIONAL BLVD STE 100, EVANSVILLE, IN 47714-8011
(812) 471-4110
Mailing address
PO BOX 417, EVANSVILLE, IN 47703-0417
(812) 759-8271
(812) 759-0636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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