Brent W Miedema MD

NPI 1033160734 - Surgery - 208600000X

NPI Details
NPI 1033160734
Gender Male
Enumeration Date 05/15/2006
Last Updated 07/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
800 HOSPITAL DR # 617
COLUMBIA MO, 65201-5275, US
Phone (573) 814-6346
Fax
Business Location
800 HOSPITAL DR # 617
COLUMBIA MO, 65201-5275, US
Phone (573) 814-6346
Fax
Toxanomy
Taxonomy Code 208600000X
License State Missouri
License Number MDR7N00
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According to our database, Brent W Miedema MD NPI is 1033160734, taxonomy code is 208600000X and license number is MDR7N00, license state is located at Missouri. Brent W Miedema MD physically located at 800 Hospital Dr # 617, Columbia MO, 65201-5275. NPI Number Brent W Miedema MD has the Individual type.

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1033160734 NPI number is provided on an as is basis without warranty of any kind. 1033160734 is maintained by the National Plan & Provider Enumeration System. The contents of Brent W Miedema MD are for informational purposes only.