Ican Clinic Mo PC

NPI #1992461776 in Chesterfield, Missouri

Provider Information

NPI Number: 1992461776
Entity Type: Organization
Organization Name: Ican Clinic Mo PC
Primary Specialty: Surgery
Enumeration Date: Nov 16, 2021
Last Updated: Nov 16, 2021

Practice Location

Address: 106 FOUR SEASONS SHOPPING CTR STE 110
City: Chesterfield
State: Missouri
ZIP Code: 63017-3173
Phone: (618) 254-2273

Authorized Official

Name: DR. MICHAEL HARBISON, DC
Title: OWNER
Phone: (618) 254-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Pain — Pain	261QP3300X
Surgery	208600000X	Primary

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