Individual
DR. MARISSA MORNINGSTAR TENENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DIV SURG PLASTICS, STE 6G, SAINT LOUIS, MO 63110-1032
(314) 362-7388
(833) 301-0853
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7388
(833) 301-0853
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2008029868
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201009008
—
MO
Enumeration date
05/09/2007
Last updated
04/21/2025
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