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Ste. Genevieve County Memorial Hospital — NPI 1104692946, Bloomsdale, MO | NPI Central

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NPI 1104692946

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Ste. Genevieve County Memorial Hospital

NPI 1104692946 · Foot Surgery Podiatrist · Bloomsdale, MO

Provider details

NPI number: 1104692946
Entity type: Organization
Primary specialty: Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
Parent organization: Ste Genevieve County Memorial Hospital
Organization subpart: Yes
Authorized official: Amanda Wolk, Director Business Office(573) 883-7703

Specialties & taxonomies

Foot Surgery PodiatristPrimary213ES0131X
Podiatric Medicine & Surgery Service Providers

Practice location

255 Boderman Ste 2c

Bloomsdale, MO 63627-9099

Phone: (573) 883-2751

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

Po Box 366

Ste Genevieve, MO 63670-0366

Other names (DBA / former)

Doing business as: Bloomsdale Specialty Clinic

Registry dates

Enumerated: 2023-12-04
Last updated: 2023-12-08
Certified: 2023-12-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.