Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 2013030082 | MO |
NPI | 1013195122 |
---|---|
Provider Name | Margaret Kathleen Siska |
First Address | Saint Louis, MO 63104-1003 |
Second Address | St. Louis, MO 63104-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 15/01/2021 |