Metro East Surgical Specialty Sc

NPI #1881631604 in Highland, Illinois

Provider Information

NPI Number
1881631604
Entity Type
Organization
Organization Name
Metro East Surgical Specialty Sc
Primary Specialty
Clinic/Center
Enumeration Date
Jun 1, 2006
Last Updated
Apr 24, 2009

Practice Location

Address
1212 BROADWAY
Address 2
SUITE B
ZIP Code
62249-1960
Phone
(618) 654-8100

Authorized Official

Name
KEITH R THOMAE, M.D.
Title
PRESIDENT
Phone
(618) 654-8100

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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