Organization
WEST END CHIROPRACTIC & REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L GERDINE D.C. (OWNER)
(314) 631-4650
Entity
Organization
Contact information
Practice address
305 UNION BLVD, SAINT LOUIS, MO 63108-1229
(314) 361-4650
(314) 361-4663
Mailing address
305 UNION BLVD, SAINT LOUIS, MO 63108-1229
(314) 361-4650
(314) 361-4663
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000149199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164713
BLUE CROSS GROUP NUMBER
MO
Enumeration date
08/09/2007
Last updated
08/09/2007
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