Graduated: 2016
NPI: 1760933956
Practice Locations (2)
NORTHWEST INFECTIOUS DISEASE SERVICES LLC
12774 BOENKER LN
BRIDGETON, MO 630442436
3142917997
MIDWEST MED CARE LLC
4801 WELDON SPRING PKWY
WELDON SPRING, MO 633049101
8003455407
Source: CMS National Downloadable File, September 2026.