Midwest Physicians Group

NPI #1366947400 in Ferguson, Missouri

Provider Information

NPI Number: 1366947400
Entity Type: Organization
Organization Name: Midwest Physicians Group
Primary Specialty: Internal Medicine
Enumeration Date: Mar 29, 2018
Last Updated: Mar 29, 2018

Practice Location

Address: 119 CHURCH ST STE 135
City: Ferguson
State: Missouri
ZIP Code: 63135-2459
Phone: (314) 246-1690

Authorized Official

Name: DAVID WILLS
Title: OWNER
Phone: (314) 246-1690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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