Individual
DR. COLLEEN COUGHLIN CLAASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5663
(314) 268-6410
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5663
(314) 268-6410
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013021231
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
2013021231
MO
Other
Enumeration date
01/14/2009
Last updated
01/15/2021
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