Organization
MIDWEST NEUROSURGEONS LLC
Active
Organization
MIDWEST NEUROSURGEONS LLC
Active
Other names
Sonjay Joseph Fonn Sole Member
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONJAY JOSEPH FONN D.O. (SINGLE MEMBER/OWNER)
(573) 651-1687
Entity
Organization
Contact information
Practice address
65 DOCTORS PARK STE A, CAPE GIRARDEAU, MO 63703-4927
(573) 651-1687
(573) 651-8734
Mailing address
65 DOCTORS PARK STE A, CAPE GIRARDEAU, MO 63703-4927
(573) 651-1687
(573) 651-8734
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
12/12/2008
Last updated
11/05/2024
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