| Metro East Surgical Specialty Sc | |
|
1212 Broadway Suite B Highland IL 62249-1960 | |
| (618) 654-8100 | |
| Not Available |
| Full Name | Metro East Surgical Specialty Sc |
|---|---|
| Speciality | Clinic/center |
| Location | 1212 Broadway, Highland, Illinois |
| Authorized Official Name and Position | Keith R Thomae (PRESIDENT) |
| Authorized Official Contact | 6186548100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro East Surgical Specialty Sc 1212 Broadway Suite B Highland IL 62249-1960 Ph: (618) 654-8100 | Metro East Surgical Specialty Sc 1212 Broadway Suite B Highland IL 62249-1960 Ph: (618) 654-8100 |
| NPI Number | 1881631604 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 04/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881631604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 042008099 (Illinois) | Primary |
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