Organization
BELLEVILLE ORTHOPEDIC SURGEONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD A WEIMER M.D.. (PARTNER)
(618) 235-2900
Entity
Organization
Contact information
Practice address
4550 MEMORIAL DR, SUITE 460, BELLEVILLE, IL 62226-5372
(618) 235-2900
(618) 235-2009
Mailing address
4550 MEMORIAL DR, SUITE 460, BELLEVILLE, IL 62226-5372
(618) 235-2900
(618) 235-2009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036101574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036101574
ILLINOIS LICENSE NUMBER
IL
Enumeration date
03/30/2010
Last updated
08/23/2010
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