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Midwest Internal Medicine Pllc
Specialist in Lake Havasu City, Arizona
NPI 1619174604

Midwest Internal Medicine Pllc is a Specialist based in Lake Havasu City, AZ. Midwest Internal Medicine Pllc practices in Lake Havasu City, AZ. The NPI Number for Midwest Internal Medicine Pllc is 1619174604 and holds a License No. (Arizona).

The current practice location address for Midwest Internal Medicine Pllc is 1840 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 928-453-8500 and via fax at 928-453-5556.

Location: 1840 Mesquite Ave, Lake Havasu City, AZ, 86403-5771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619174604
Provider Name
Midwest Internal Medicine Pllc
Credential
Provider Entity Type
Organization
Address
1840 Mesquite Ave, Lake Havasu City, AZ, 86403-5771
Phone Number
928-453-8500
Fax Number
928-453-5556
Provider Enumeration Date
07/02/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
C02092 01 AZ RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1840 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5771
Phone Number
928-453-8500
Fax Number
928-453-5556
person
Provider Business Mailing Address Details
Address
1840 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5771
Phone Number
928-453-8500
Fax Number
928-453-5556
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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