Individual
MRS. ALISON JANE GILDEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
(314) 251-4456
Mailing address
621 S NEW BALLAS RD STE 560A, SAINT LOUIS, MO 63141-8261
(314) 251-6440
(314) 251-4456
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009023923
MO
2086S0102X
Surgical Critical Care Physician
2009023923
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104023886
—
MO
01
—
2009023923
LICENSE
MO
01
—
803537998
BNDD
MO
Enumeration date
06/27/2007
Last updated
03/07/2023
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