Organization
ST. LOUIS GENERAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A TERSCHLUSE MD (PRESIDENT)
(314) 770-2223
Entity
Organization
Contact information
Practice address
3394 MCKELVEY RD, SUITE 115, BRIDGETON, MO 63044-2531
(314) 770-2223
(314) 770-2201
Mailing address
3394 MCKELVEY RD, SUITE 115, BRIDGETON, MO 63044-2531
(314) 770-2223
(314) 770-2201
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R7B83
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202110607
—
MO
01
—
CS4109
RR MEDICARE
MO
Enumeration date
03/15/2007
Last updated
02/23/2016
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