Individual
SHANNON MICHELLE GRABOSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1031 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1858
(314) 781-4772
(314) 645-8771
Mailing address
1031 BELLEVUE AVE STE 400, SAINT LOUIS, MO 63117-1858
(314) 781-4772
(314) 645-8771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2010021063
MO
207VX0201X
Gynecologic Oncology Physician
Primary
2018006396
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2010
Last updated
01/14/2021
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