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NPI Code Detail

MEDICARE: MIDWEST MEDICAL SUPPLIES

MEDICARE: MIDWEST MEDICAL SUPPLIES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1184852725
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDWEST MEDICAL SUPPLIES
Provider Business Mailing Address
First Line : 2621 RAYMOND DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4872
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2621 RAYMOND DR
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-4872
Country : US
Telephone Number : 636-946-2244
Fax Number : 636-946-6975
Authorized Official
Title or Position : OWNER
Name : DENNIS RODDEN
Credential :
Telephone Number : 636-946-2244
Provider Enumeration Date : 06/22/2009
Last Update Date : 06/22/2009

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Directions to “MIDWEST MEDICAL SUPPLIES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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