| NPI | 1063484400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A SCHWARZE Delegated Official 314-983-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO R9G33) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO R7J25) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2018-12-09 |