Individual
DR. EDWARD SHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12634 OLIVE BLVD, DIV IM GASTROENTEROLOGY, SAINT LOUIS, MO 63141-6337
(314) 747-2066
(314) 878-3022
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-2066
(314) 878-3022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019022751
MO
207RG0100X
Gastroenterology Physician
Primary
2019022751
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077926
—
MO
Enumeration date
05/01/2012
Last updated
04/17/2025
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