Provider Demographics
NPI:1588848014
Name:W. MIKE SEE MD PC
Entity Type:Organization
Organization Name:W. MIKE SEE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:573-442-2320
Mailing Address - Street 1:1705 E BROADWAY
Mailing Address - Street 2:340
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-7166
Mailing Address - Country:US
Mailing Address - Phone:573-442-2320
Mailing Address - Fax:573-443-6294
Practice Address - Street 1:1705 E BROADWAY
Practice Address - Street 2:340
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-7166
Practice Address - Country:US
Practice Address - Phone:573-442-2320
Practice Address - Fax:573-443-6294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO36210208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E59595Medicare UPIN