Organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Active
Organization
HANNIBAL CLINIC OPERATIONS, L.L.C.
Active
Other names
Hannibal Clinic @ Monroe City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J BUKSTEIN MD (PHYSICIAN EXEC DIRECTOR)
(573) 231-3172
Entity
Organization
Contact information
Practice address
400 N MAIN ST, MONROE CITY, MO 63456-1318
(573) 735-4541
(573) 735-2143
Mailing address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
(573) 231-3824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013771
PTAN
MO
Enumeration date
01/11/2006
Last updated
04/18/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up