MEDICARE: DR. SHERYL L HANAWALT DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	2015014632	MO

General Provider Information

NPI Number	:	1780971846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHERYL L HANAWALT DPM

Provider Business Mailing Address
First Line	:	222 S WOODS MILL RD STE 440N
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-3625
Country	:	US
Telephone Number	:	314-434-7430
Fax Number	:	314-434-8768

Provider Business Practice Location Address
First Line	:	222 S WOODS MILL RD STE 440N
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-3625
Country	:	US
Telephone Number	:	314-434-7430
Fax Number	:	314-434-8768

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	06/02/2026

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