Individual
MIGUEL A GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 577-5337
(314) 268-6407
Mailing address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 309-4063
(314) 977-7615
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
2011018650
MO
207ZP0101X
Anatomic Pathology Physician
Primary
2011018650
MO
207ZP0213X
Pediatric Pathology Physician
2011018650
MO
Other
Enumeration date
05/25/2007
Last updated
02/04/2021
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