Individual
DR. KATHERINE A STUCKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012016958
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255636445
—
MO
Enumeration date
01/19/2011
Last updated
03/19/2024
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