Individual
SHIGEMASA IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3635 VISTA AVE. AT GRAND BLVD, DEPT. ANESTHESIOLOGY & CRITICAL CARE, SLUH, ST. LOUIS, MO 63110-0250
(314) 577-8750
Mailing address
430 CHESHIRE FARM CT, SAINT LOUIS, MO 63141-8502
(314) 434-0095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R5870
MO
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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