| Midwest Physicians Group | |
|
119 Church St Ste 135 Ferguson MO 63135-2459 | |
| (314) 246-1690 | |
| (800) 331-9716 |
| Full Name | Midwest Physicians Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 Church St Ste 135, Ferguson, Missouri |
| Authorized Official Name and Position | David Wills (OWNER) |
| Authorized Official Contact | 3142461690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Physicians Group Po Box 69141 Saint Louis MO 63169-0141 Ph: (314) 246-1690 | Midwest Physicians Group 119 Church St Ste 135 Ferguson MO 63135-2459 Ph: (314) 246-1690 |
| NPI Number | 1366947400 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366947400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2006024364 (Missouri) | Primary |
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