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MIDWEST SPECIAL SURGERY P.C. NPI 1447472519


NPI Information

NPI: 1447472519
Provider Name: MIDWEST SPECIAL SURGERY, P.C.
Classification: Surgery - 2086S0105X
Entity Type: Organization

Specialization: Surgery of the Hand

Address:
830 WATERBURY FALLS DR
O FALLON, MO
ZIP 63368
Phone: (636) 730-3000
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MIDWEST SPECIAL SURGERY, P.C. is a surgery of the hand surgery in O Fallon, MO. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. MIDWEST SPECIAL SURGERY, P.C. NPI is 1447472519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

830 WATERBURY FALLS DR
O FALLON, MO
ZIP 63368-215
Phone: (636) 730-3000

The provider's authorized official is Tony E Sudekum .
The authorized official title is Physician and has the following contact phone number (636) 730-3000.

The enumeration date for this NPI number is 5/2/2007 and was last updated on 11/6/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0105XSurgerySurgery of the Hand111635MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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