Individual
DR. NICO URS FELIX DOSENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV NEUROLOGY PEDIATRICS, SAINT LOUIS, MO 63110-1002
(314) 362-1408
(314) 454-2523
Mailing address
660 S EUCLID AVE, CB 8111, SAINT LOUIS, MO 63110-1010
(314) 362-1408
(314) 454-2523
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013026059
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2013026059
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006843
—
MO
Enumeration date
07/08/2008
Last updated
11/15/2021
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