| NPI | 1598626657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELENE P. MUSIELAK Medical Director 314-377-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| 208600000X Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-11-19 |
| Last Update Date | 2025-11-19 |