Ogmc Llc | |
1900 S Broadway Oak Grove MN 64075 | |
(816) 690-6566 | |
(816) 625-8276 |
Full Name | Ogmc Llc |
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Speciality | Clinic/center - Primary Care |
Location | 1900 S Broadway, Oak Grove, Minnesota |
Authorized Official Name and Position | Steve T Gialde (PARTNER) |
Authorized Official Contact | 8166906566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ogmc Llc Po Box 670 1900 S Broadway Oak Grove MO 64075 Ph: (816) 690-6566 | Ogmc Llc 1900 S Broadway Oak Grove MN 64075 Ph: (816) 690-6566 |
NPI Number | 1104916337 |
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Provider Enumeration Date | 10/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1104916337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |