Mid America Senior Management Aco LLC

NPI #1326888900 in Tonganoxie, Kansas

Provider Information

NPI Number: 1326888900
Entity Type: Organization
Organization Name: Mid America Senior Management Aco LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 21107 DONAHOO RD
City: Tonganoxie
State: Kansas
ZIP Code: 66086-4153
Phone: (913) 742-4084

Authorized Official

Name: MARK PETERSEN, MD
Title: OWNER
Phone: (913) 208-6221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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Organizations

Provider Name	Specialty	City
Mid America Senior Management LLC	Internal Medicine	Tonganoxie	AI Deep Dive

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