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Individual

KATHLEEN CIZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5034 GRIFFIN RD, SAINT LOUIS, MO 63128-3418
(314) 843-7333
(314) 843-9946
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 843-7333
(314) 843-9946

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
105368
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000010012
ESSENCE
MO
01
0400467
UHC
MO
01
127469
GHP
MO
01
247224
HEALTHLINK
MO
01
25195
BCBS
MO
01
4412341
AETNA
MO
01
F62723
MERCY
MO
Enumeration date
11/03/2005
Last updated
09/21/2012
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