Search › Missouri › 208600000X
Jesse Hanisch, M.D., PH.D
NPI 1497192785 · on the registry since 2013
Practice
- Address
- 1400 Us Highway 61 Ste 310
Festus, MO 63028 - Phone
- (636) 543-2140
- Fax
- (636) 933-1085
- Organisation at this address
- Provider Plus Llc
Id Consultants, P.C.
Modern Urology, Inc.
Contemporary Ob-Gyn Pc
Rouba Ghoussoub Md LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 98
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-07
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