| William L Shisko,d.o., P.c. | |
|
9628 Midland Blvd Suite 2 Saint Louis MO 63114-3353 | |
| (314) 423-4070 | |
| (314) 423-2909 |
| Full Name | William L Shisko,d.o., P.c. |
|---|---|
| Speciality | General Practice |
| Location | 9628 Midland Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | William L Shisko (PHYSICIAN) |
| Authorized Official Contact | 3144234070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William L Shisko,d.o., P.c. 9628 Midland Blvd Suite 2 Saint Louis MO 63114-3353 Ph: (314) 423-4070 | William L Shisko,d.o., P.c. 9628 Midland Blvd Suite 2 Saint Louis MO 63114-3353 Ph: (314) 423-4070 |
| NPI Number | 1437427762 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 03/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437427762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 35717 (Missouri) | Primary |
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