Ssm Medical Group

NPI #1619150703 in Swansea, Illinois

Provider Information

NPI Number: 1619150703
Entity Type: Organization
Organization Name: Ssm Medical Group
Primary Specialty: Clinic/Center
Enumeration Date: Dec 11, 2007
Last Updated: Dec 11, 2007

Practice Location

Address: 3 PARK PL
City: Swansea
State: Illinois
ZIP Code: 62226-2965
Phone: (618) 222-9244

Authorized Official

Name: LESA SCHNARR
Title: DIRECTOR
Phone: (314) 951-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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