Individual
JANET TODORCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11525 OLDE CABIN RD, CREVE COEUR, MO 63141-7146
(314) 997-0554
(314) 997-5086
Mailing address
11525 OLDE CABIN RD, CREVE COEUR, MO 63141-7146
(314) 997-0554
(314) 997-5086
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R2K13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005012657
MEDICARE LEGACY
MO
01
—
100017273
RAILROAD MEDICARE
—
01
—
136158
GHP
—
05
—
202839015
—
MO
01
—
20651
BLUE CROSS/BLUE SHIELD
—
01
—
4118530
AETNA
—
01
—
685715
HEALTHLINK
—
01
—
790731
UHC
—
Enumeration date
07/31/2006
Last updated
02/27/2014
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