Individual
JENNIFER CAROLYN SCHANZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-6408
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-6408
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
2021014628
MO
208000000X
Pediatrics Physician
Primary
2021014628
MO
208000000X
Pediatrics Physician
DO.2870
AL
2080A0000X
Pediatric Adolescent Medicine Physician
DO.2870
AL
Other
Enumeration date
04/09/2018
Last updated
10/08/2025
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