Search › Missouri › 2086S0122X
Charles Ettelson, M.D
NPI 1255332904 · on the registry since 2005 · sole proprietor
Practice
- Address
- 730 Audubon Dr
Saint Louis, MO 63105 - Phone
- (314) 324-7605
Registry record
- Primary taxonomy
- 2086S0122X
2086S0122X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-07-02
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