NPI | 1780707950 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE ANTHONY HUELS President 618-462-2316 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016004028) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2008-11-11 |