NPI | 1518768845 |
---|---|
Doing Business As | EDDII-CARE |
Entity Type | Organization |
Authorized Contact | KRISTEN MENGWASSER Manager, Chief Medical Officer 314-809-8201 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-03-22 |
Last Update Date | 2025-09-01 |