| NPI | 1114685401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M SIEDELCKI Authorized Representative 314-243-2143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2024-12-14 |