| Mediclinik | |
|
14173 Manchester Rd Ste C Manchester MO 63011-4524 | |
| (877) 207-6770 | |
| Not Available |
| Full Name | Mediclinik |
|---|---|
| Speciality | Internal Medicine |
| Location | 14173 Manchester Rd Ste C, Manchester, Missouri |
| Authorized Official Name and Position | Mohamed B Nawaz (PRESIDENT/CEO) |
| Authorized Official Contact | 8772076770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mediclinik 14173 Manchester Rd Ste C Manchester MO 63011-4524 Ph: (877) 207-6770 | Mediclinik 14173 Manchester Rd Ste C Manchester MO 63011-4524 Ph: (877) 207-6770 |
| NPI Number | 1861646952 |
|---|---|
| Provider Enumeration Date | 11/16/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861646952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Missouri) | Primary |
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