OrganizationActive
Midwest Special Surgery, P.C.
NPI 1447472519 · Surgery of the Hand (Surgery) Physician · O Fallon, MO
Provider details
- NPI number
- 1447472519
- Entity type
- Organization
- Primary specialty
- Surgery of the Hand (Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tony Sudekum, Physician(636) 730-3000
- License
- 111635 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
830 Waterbury Falls Dr
O Fallon, MO 63368-2215
Phone: (636) 730-3000
Approximate (ZIP-level) locationGet directions
Mailing address
830 Waterbury Falls Dr
O Fallon, MO 63368-2215
Registry dates
- Enumerated
- 2007-05-02
- Last updated
- 2007-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.