Organization
HEARTLAND WOMEN'S HEALTHCARE MO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCHIFANO DO (PRESIDENT)
(618) 997-5266
Entity
Organization
Contact information
Practice address
2340 KATY LN, POPLAR BLUFF, MO 63901-2300
(618) 997-5266
(618) 997-5285
Mailing address
1407 MCPHERSON AVE, MOUNT VERNON, IL 62864-2822
(618) 997-5266
(618) 997-5285
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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