Individual
DR. JEANNE H CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, 198-A, SAINT LOUIS, MO 63141-8232
(314) 251-6970
(314) 215-1053
Mailing address
625 S NEW BALLAS RD, SUITE R-7040, SAINT LOUIS, MO 63141-8232
(314) 251-6970
(314) 215-1053
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2005016189
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207503509
—
MO
Enumeration date
01/31/2006
Last updated
05/12/2011
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