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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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