| NPI | 1639280290 |
|---|---|
| Doing Business As | ANKLE & FOOT SURGEONS OF THE MIDWEST |
| Entity Type | Organization |
| Authorized Contact | JEFFREY S BOBERG President/Physician 314-739-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 000570) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005217) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2003013610) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005131) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004233) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2005026457) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-23 |