Individual
SHERIDA E TOLLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S GRAND, ST. LOUIS, MO 63104
(314) 577-5684
(314) 268-6448
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
RIB88
MO
Other
Enumeration date
08/19/2006
Last updated
01/09/2008
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