Midway Medical Clinic Steven P. Radjenovich D.o. LLC
NPI #1184610974 in Alexandria, Minnesota
Provider Information
- NPI Number
- 1184610974
- Entity Type
- Organization
- Organization Name
- Midway Medical Clinic Steven P. Radjenovich D.o. LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 27, 2005
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 119 30TH AVE W
- City
- Alexandria
- State
- Minnesota
- ZIP Code
- 56308-3433
- Phone
- (320) 763-6452
Authorized Official
- Name
- MR. STEVEN PERL RADJENOVICH, D.O.
- Title
- PRESIDENT
- Phone
- (320) 763-6452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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