NPI | 1457467813 |
---|---|
Other Name | WENTZVILLE FOOT AND ANKLE-ST CHARLES |
Entity Type | Organization |
Authorized Contact | REED LUIKAART Owner/Dpm 636-916-4842 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2000157310) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-08-22 |