Organization Name: | MIDWEST PHYSICIANS GROUP PC |
NPI Number: | 1003159906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LOUISE A WINTER (OWNER) |
Mailing Address: | 5310 S 84th St Ste 100 Omaha |
State: | NE US |
Postal Code: | 681273775 |
Phone Number: | 4028276510 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2013 |
NPI Last Update Date: | 03/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |