ST. LOUIS ID, P.C.
Osteopathic Medicine at Ballas Rd, Saint Louis, MO

License number
Missouri R7058
Category
Osteopathic Medicine
Type
Infectious Disease
Owner
Name: DR. MICHAEL B. GUTWEIN M.D.
Title: PRESIDENT
Phone: (314) 395-8701
Address
Address
3009 N Ballas Rd SUITE 130A, Saint Louis, MO 63131
National Provider ID: 1578894309
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ST. LOUIS ID, PC

3009 N Ballas Rd SUITE 130A, Saint Louis, MO 63131

Doing business as:
St Louis Id PC
Registration:
Jun 4, 1991
Site:
sp.bestflowers.com
Phone:
(314) 395-8701 (Phone)
State ID:
P00353862
Business type:
Professional Corporation
Expiration:
Perpetual
Agent:
Michael B. Gutwein,7415 York Dr, Saint Louis, MO 63105 (Physical)
Categories:
Clinics & Medical Centers, Family & General Practice Physicians & Surgeons, Physicians & Surgeons

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