Individual
DR. SCOTT MICHAEL STARENCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1044 N MASON RD, DIV IM GENERAL MED, STE 330, SAINT LOUIS, MO 63141-6431
(314) 996-8103
(314) 996-3230
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 996-8103
(314) 996-3230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2021048490
MO
207R00000X
Internal Medicine Physician
2021048490
MO
208D00000X
General Practice Physician
Primary
2021048490
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200112559
—
MO
Enumeration date
10/05/2005
Last updated
04/17/2025
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