Organization
WILKERSON HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN K BRUCE (CEO)
(636) 677-7759
Entity
Organization
Contact information
Practice address
1636 GRAVOIS RD, HIGH RIDGE, MO 63049-2606
(636) 677-7759
Mailing address
1770 GRAVOIS RD, HIGH RIDGE, MO 63049-2625
(636) 677-7759
(636) 677-3834
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0003794
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269790200
—
MO
05
—
289790206
—
MO
Enumeration date
02/23/2007
Last updated
07/24/2024
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