Individual
DR. BILL LOUIS SHISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9628 MIDLAND BLVD, SUITE 2, SAINT LOUIS, MO 63114-3353
(314) 423-4070
(314) 423-2909
Mailing address
9628 MIDLAND BLVD, SUITE 2, SAINT LOUIS, MO 63114-3353
(314) 423-4070
(314) 423-2909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35717
MO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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