Organization
GITERSONKE FOOT CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY DOLORES GITERSONKE (OFFICE MANAGER)
(618) 931-3338
Entity
Organization
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 931-3338
Mailing address
2412 CORPORATE CTR, GRANITE CITY, IL 62040-4192
(618) 931-3338
(618) 931-4905
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
IL
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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