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Contact Information

NORTHLAND INTERNAL MEDICINE M.D.'S P.C.
6080 N. OAK TRAFFICWAY
GLADSTONE, MO64118
 Phone: 816-453-9232
 Fax: 816-455-2423
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NORTHLAND INTERNAL MEDICINE M.D.'S P.C.

NPI Number 1184717852
LBN Legal business name NORTHLAND INTERNAL MEDICINE M.D.'S P.C.
Authorized official BRUCE KAUK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MO License # R9382
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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