Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hannibal Clinic Operations, LLC

Organization Family Medicine Physician · NPI 1174757504

Hannibal Clinic Operations, LLC is a Family Medicine Physician in Center, Missouri. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 E Highway 19
Center, MO 63436-1044
Phone: (573) 267-3318
Fax: (573) 267-3933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1174757504
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bukstein — Physician Executive Director · (573) 231-3172
Other names Hannibal Clinic @ Center; Hannibal Clinic @ Center
NPI enumeratedMay 13, 2009
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address100 Medical Dr, Hannibal, MO 63401-6877

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