Mid America Senior Management LLC

NPI #1942356977 in Tonganoxie, Kansas

Provider Information

NPI Number: 1942356977
Entity Type: Organization
Organization Name: Mid America Senior Management LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 25, 2007
Last Updated: Jul 21, 2011

Practice Location

Address: 21107 DONAHOO RD
City: Tonganoxie
State: Kansas
ZIP Code: 66086-4153
Phone: (913) 742-4084

Authorized Official

Name: ANNA MARIE MATHES
Title: PRACTICE ADMINISTRATOR
Phone: (913) 742-4084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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