| Dr. Wit Internal Medicine Prof Geriatric Care | |
|
5621 Delmar Blvd #105 Saint Louis MO 63112-2656 | |
| (314) 367-2727 | |
| (314) 367-2989 |
| Full Name | Dr. Wit Internal Medicine Prof Geriatric Care |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5621 Delmar Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Wit A Jamry (PRESIDENT) |
| Authorized Official Contact | 3143672727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Wit Internal Medicine Prof Geriatric Care 7137 Maryland Ave Saint Louis MO 63130-4417 Ph: (314) 721-0675 | Dr. Wit Internal Medicine Prof Geriatric Care 5621 Delmar Blvd #105 Saint Louis MO 63112-2656 Ph: (314) 367-2727 |
| NPI Number | 1033194386 |
|---|---|
| Provider Enumeration Date | 12/09/2005 |
| Last Update Date | 08/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033194386 | NPI | - | NPPES |
| 505084103 | Medicaid | MO | |
| CG9649 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Secondary |
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