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Search › Missouri › 207P00000X

Grant Gerdelman, M.D

NPI 1215292933 · on the registry since 2012

Practice

Address
3635 Vista Ave
Saint Louis, MO 63110
Phone
(314) 577-8780
Fax
(314) 577-8516
Organisation at this address
Ssm-Sluh Inc
Slh Vista, Inc.
Slh Vista, Inc.
Slh Vista, Inc.
Slh Vista, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
146

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
390200000X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri