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Mia Of St Charles County Llc
Clinic/Center in Saint Charles, Missouri
NPI 1922093632

Mia Of St Charles County Llc is a Clinic/Center based in Edwardsville, MO. Mia Of St Charles County Llc practices in Saint Charles, MO. The NPI Number for Mia Of St Charles County Llc is 1922093632 and holds a License No. (Missouri).

The current practice location address for Mia Of St Charles County Llc is 1475 Kisker Rd, Saint Charles, MO and can be reached out via phone at 636-922-5151 and via fax at 636-922-5454.

Location: 1475 Kisker Rd, Saint Charles, MO, 62025-0868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922093632
Provider Name
Mia Of St Charles County Llc
Credential
Provider Entity Type
Organization
Address
1475 Kisker Rd, Saint Charles, MO, 62025-0868
Phone Number
636-922-5151
Fax Number
636-922-5454
Provider Enumeration Date
09/19/2005
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1475 Kisker Rd
City
Saint Charles
State
Missouri
Zip
63304-8781
Phone Number
636-922-5151
Fax Number
636-922-5454
person
Provider Business Mailing Address Details
Address
1475 Kisker Rd
City
Saint Charles
State
Missouri
Zip
63304-8781
Phone Number
636-922-5151
Fax Number
636-922-5454
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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