| NPI | 1437591435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN HUNCHAREK Owner 314-720-0855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 2011035207) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-11-01 |