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Midwest Heart Group of Rolla, LLC

NPI #1700068616 in Rolla, Missouri

Provider Information

NPI Number
1700068616
Entity Type
Organization
Organization Name
Midwest Heart Group of Rolla, LLC
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Dec 3, 2007
Last Updated
Dec 3, 2007

Practice Location

Address
100 W 10TH ST
Address 2
SUITE 100
City
Rolla
State
Missouri
ZIP Code
65401-3248
Phone
(573) 426-6751

Authorized Official

Name
JOHN G. HERMANN
Title
PRESIDENT
Phone
(314) 364-3380

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease

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