NPI | 1710147236 |
---|---|
Doing Business As | ANKLE & FOOT SURGEONS OF THE MIDWEST |
Entity Type | Organization |
Authorized Contact | JEFFREY S BOBERG Owner/Physician 618-236-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004233) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2008-07-17 |