Organization
MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION
Active
Organization
MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS SHAMMAS MD (OWNER)
(563) 320-0263
Entity
Organization
Contact information
Practice address
630 E 4TH ST STE A, DAVENPORT, IA 52801-1713
(563) 324-2828
Mailing address
PO BOX 850, MOLINE, IL 61266-0850
(309) 762-9711
(309) 764-0553
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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