| NPI | 1821280660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE VANHOOGSTRAAT Office Manager/Credentialing 314-965-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2023-08-10 |