Organization
GEISTLER FAMILY FOOTCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE L WEISS (ASST. SECRETARY/TREASURER)
(314) 849-7600
Entity
Organization
Contact information
Practice address
12152 TESSON FERRY RD, SAINT LOUIS, MO 63128
(314) 849-7600
(314) 842-0106
Mailing address
12700 SOUTHFORK RD, SUITE 260, SAINT LOUIS, MO 63128-3288
(314) 849-7600
(314) 849-9004
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000612
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507338101
—
MO
Enumeration date
01/23/2007
Last updated
07/29/2019
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