Mediclinik

NPI #1861646952 in Manchester, Missouri

Provider Information

NPI Number: 1861646952
Entity Type: Organization
Organization Name: Mediclinik
Primary Specialty: Internal Medicine
Enumeration Date: Nov 16, 2008
Last Updated: Nov 17, 2008

Practice Location

Address: 14173 MANCHESTER RD STE C
City: Manchester
State: Missouri
ZIP Code: 63011-4524
Phone: (877) 207-6770

Authorized Official

Name: MR. MOHAMED B NAWAZ
Title: PRESIDENT/CEO
Phone: (877) 207-6770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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