Individual
DR. ANNE CORINNE WALENTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1402 S GRAND BLVD, SAINT LOUIS UNIVERSITY HOSPITAL-INTERNAL MEDICINE, SAINT LOUIS, MO 63104-1004
(314) 577-6143
Mailing address
1402 S GRAND BLVD, SAINT LOUIS UNIVERSITY HOSPITAL-INTERNAL MEDICINE, SAINT LOUIS, MO 63104-1004
(314) 577-6143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015018615
MO
208000000X
Pediatrics Physician
2015018615
MO
Other
Enumeration date
04/12/2011
Last updated
08/25/2016
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