Organization
KIRKWOOD PODIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN J WUNDERLICH D.P.M. (PRESIDENT)
(314) 821-6585
Entity
Organization
Contact information
Practice address
118 E JEFFERSON AVE, SUITE 200, KIRKWOOD, MO 63122-4026
(314) 821-6585
(314) 821-6594
Mailing address
1934 DREXEL HILL CT, SAINT LOUIS, MO 63131-3647
(314) 821-6585
(314) 821-6594
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000476
MO
Other
Enumeration date
11/28/2007
Last updated
03/13/2008
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