Organization
ST. LUKE'S WHC, LLC
Active
Other names
Midwest Breast Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. JACOBSEN (OFFICER (SECRETARY))
(952) 543-6500
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD, SUITE 250, SAINT LOUIS, MO 63141-6835
(314) 567-4449
(314) 567-0762
Mailing address
NW 5946, P.O. BOX 1450, MINNEAPOLIS, MN 55485-5946
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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