Organization
MIDWEST HEART RHYTHM INCORPORATED
Active
Other names
MIDWEST HEART RHTYHM, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY S FREDMAN MD (MD)
(314) 317-9863
Entity
Organization
Contact information
Practice address
222 S WOODS MILL RD, SUITE 400N, CHESTERFIELD, MO 63017-3625
(314) 317-9863
(314) 317-9806
Mailing address
PO BOX 952273, SAINT LOUIS, MO 63195-2273
(314) 432-2580
(314) 432-0223
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
R4D51
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
R5G76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505207209
—
MO
01
—
CH4229
RAILROAD MEDICARE
MO
Enumeration date
07/16/2006
Last updated
10/03/2017
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