| Organization Name: | WILLIAM L SHISKO,D.O., P.C. |
| NPI Number: | 1437427762 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM L SHISKO (PHYSICIAN) |
| Mailing Address: | 9628 Midland Blvd Suite 2 Saint Louis |
| State: | MO US |
| Postal Code: | 631143353 |
| Phone Number: | 3144234070 |
| Fax Number: | 3144232909 |
| NPI Enumeration Date: | 12/01/2011 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |