Organization
MIDWEST HEALTH GROUP CONVENIENT CARE, LLC
Active
Organization
MIDWEST HEALTH GROUP CONVENIENT CARE, LLC
Active
Other names
Midwest Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ELIZABETH CHANDLER FNP-C (MANAGER)
(573) 358-1700
Entity
Organization
Contact information
Practice address
123 N MINE LA MOTTE ST, FREDERICKTOWN, MO 63645-1201
(573) 561-1334
(573) 561-1335
Mailing address
123 N. MINE LAMOTTE, FREDERICKTOWN, MO 63640
(573) 561-1334
(573) 561-1335
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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