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Organization

MIDWEST HEART GROUP OF ROLLA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN G. HERMANN (PRESIDENT)
(314) 364-3380
Entity
Organization

Contact information

Practice address
100 W 10TH ST, SUITE 100, ROLLA, MO 65401-3248
(573) 426-6751
(573) 426-6752
Mailing address
100 W 10TH ST, SUITE 100, ROLLA, MO 65401-3248
(573) 426-6751
(573) 426-6752

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
12/03/2007
Last updated
12/03/2007
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