Organization
MIDWEST SURGICAL CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MARIE HRUSKA OPA-C, CST/CSFA (OWNER)
(618) 616-1658
Entity
Organization
Contact information
Practice address
1503 BUCKHURST CT, BALLWIN, MO 63021-8395
(618) 616-1658
Mailing address
1503 BUCKHURST CT, BALLWIN, MO 63021-8395
(618) 616-1658
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/10/2021
Last updated
11/14/2021
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