| NPI | 1093251142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WEIK Dpm/Owner 314-882-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2024-08-27 |