Organization
ST LOUIS SURGICAL CONSULTANTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E NIESEN M.D. (PRESIDENT)
(314) 434-1211
Entity
Organization
Contact information
Practice address
226 S WOODS MILL RD, SUITE 49 W, CHESTERFIELD, MO 63017-3662
(314) 434-1211
(314) 434-4419
Mailing address
226 S WOODS MILL RD, SUITE 49 W, CHESTERFIELD, MO 63017-3662
(314) 434-1211
(314) 434-4419
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
MO
Other
Enumeration date
09/09/2005
Last updated
07/21/2022
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