| Mt. Auburn Medical Group | |
|
150 S Mount Auburn Rd Suite 342 Cape Girardeau MO 63703-4911 | |
| (573) 335-2212 | |
| (573) 339-5946 |
| Full Name | Mt. Auburn Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 150 S Mount Auburn Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Robert D Bieser (PHYSICIAN) |
| Authorized Official Contact | 5733352212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Auburn Medical Group 150 S Mount Auburn Rd Suite 342 Cape Girardeau MO 63703-4911 Ph: (573) 335-2212 | Mt. Auburn Medical Group 150 S Mount Auburn Rd Suite 342 Cape Girardeau MO 63703-4911 Ph: (573) 335-2212 |
| NPI Number | 1306017769 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306017769 | NPI | - | NPPES |
| 1174611966 | Other | MO | JEFFREY W. CHILDERS, MD |
| 1386732196 | Other | MO | ROBERT D. BIESER, DO |
| 1467542571 | Other | MO | PHILIP E. TIPPEN, MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 104929 (Missouri) | Primary |
| 207Q00000X | Family Medicine | 1004971 (Missouri) | Secondary |
| 207R00000X | Internal Medicine | 116768 (Missouri) | Secondary |
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