MEDICARE: MIDWEST HAND AND WRIST SURGERY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician

General Provider Information

NPI Number	:	1528951977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST HAND AND WRIST SURGERY PC

Provider Business Mailing Address
First Line	:	17781 HORNBEAN DR
Second Line	:
City	:	WILDWOOD
State	:	MO
Zip	:	63005-4229
Country	:	US
Telephone Number	:	859-699-8768
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 CHESTERFIELD BUSINESS PKWY
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1233
Country	:	US
Telephone Number	:	859-699-8768
Fax Number	:	314-451-8885

Authorized Official
Title or Position	:	OWNER
Name	:	DR. VIKAS DHAWAN
Credential	:	MD
Telephone Number	:	859-699-8768

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	04/17/2026

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