NPI | 1477737054 |
---|---|
Entity Type | Organization |
Authorized Contact | PEGGY DOLORES GITERSONKE Office Manager 618-654-2383 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016003533) |
Enumeration Date | 2007-12-19 |
Last Update Date | 2008-01-26 |