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Individual

DR. JESSICA KATHRYN STASZAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG ACCS, SAINT LOUIS, MO 63110-1003
(314) 362-5298
(888) 824-2176
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-5298
(888) 824-2176

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020022350
MO
2086S0102X
Surgical Critical Care Physician
2020022350
MO
2086S0102X
Surgical Critical Care Physician
74536
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200088459
MO
Enumeration date
04/15/2013
Last updated
05/11/2026
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