Organization
MIDWEST HEART INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE BOUHASIN MD (OWNER)
(314) 517-0505
Entity
Organization
Contact information
Practice address
1439 US HIGHWAY 61, STE A, FESTUS, MO 63028-4153
(636) 931-7101
Mailing address
9225 CADDYSHACK CIR, SAINT LOUIS, MO 63127-1944
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
08/15/2016
Last updated
12/27/2017
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