Individual
MS. ANNA ROSE NIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6400 CLAYTON ROAD, STE 201, ST LOUIS, MO 63117
(314) 781-8405
(314) 781-2462
Mailing address
6400 CLAYTON ROAD, STE 201, ST LOUIS, MO 63117
(314) 781-8405
(314) 781-2462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8939
MO
207RG0100X
Gastroenterology Physician
Primary
R8939
MO
Other
Enumeration date
10/26/2006
Last updated
09/11/2025
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