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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