Organization
STRATUS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN DENISE BLACKWELDER MD (OWNER)
(573) 475-7333
Entity
Organization
Contact information
Practice address
2010 N MAIN ST, SIKESTON, MO 63801-8478
(573) 475-7333
Mailing address
2010 N MAIN ST, SIKESTON, MO 63801-8478
(573) 475-7333
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
114108
MO
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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