| NPI | 1275705899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A WEIK Owner 314-882-6815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3090) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |