Individual
MARTIN J RISCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4201 S CLOVERLEAF DR, SAINT PETERS, MO 63376-6438
(636) 928-1240
(636) 928-1242
Mailing address
4201 S CLOVERLEAF DR, SAINT PETERS, MO 63376-6438
(636) 928-1240
(636) 928-1242
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000509
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303793616
—
MO
Enumeration date
05/24/2005
Last updated
01/26/2011
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