| NPI | 1699825695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND WEICK President 636-458-0083 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-11-29 |