| Midwest Phyisician Associates Ltd | |
|
8 Ginger Creek Pkwy Glen Carbon IL 62034-3502 | |
| (618) 692-6700 | |
| (618) 692-6711 |
| Full Name | Midwest Phyisician Associates Ltd |
|---|---|
| Speciality | General Practice |
| Location | 8 Ginger Creek Pkwy, Glen Carbon, Illinois |
| Authorized Official Name and Position | David Thayer (PRESIDENT) |
| Authorized Official Contact | 6186926700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Phyisician Associates Ltd Po Box 997 Edwardsville IL 62025-0997 Ph: (618) 692-6700 | Midwest Phyisician Associates Ltd 8 Ginger Creek Pkwy Glen Carbon IL 62034-3502 Ph: (618) 692-6700 |
| NPI Number | 1205291846 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 08/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205291846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036-072290 (Illinois) | Primary |
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