Individual
MIGUEL GELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13303 TESSON FERRY RD, SAINT LOUIS, MO 63128-4056
(314) 843-5888
Mailing address
PO BOX 411515, SAINT LOUIS, MO 63141-3515
(314) 364-4200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036117188
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2001010859
MO
2085R0204X
Vascular & Interventional Radiology Physician
036117188
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117188-3
—
IL
01
—
P00357281
MDCR RR/GD SM & ST MARY
IL
Enumeration date
06/01/2006
Last updated
10/01/2024
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