Individual
JENNIFER L ETLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6 JUNGERMANN CIRCLE, STE 205, ST PETERS, MO 63376
(636) 441-2122
(636) 441-5290
Mailing address
6 JUNGERMANN CIRCLE, STE 205, ST PETERS, MO 63376
(636) 441-2122
(636) 441-5290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2005000203
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017283
EXCLUSIVE CHOICE
—
01
—
12593
ESSENCE
—
01
—
165817
BLUE SHIELD
—
01
—
1700267
UNITED HEALTHCARE
—
05
—
209370105
—
MO
01
—
231210
GHP
—
01
—
4309109800
PRODENTIAL
—
01
—
487573
HEALTHLINK
—
01
—
7986366
AETNA
—
01
—
H74520
MERCY
—
01
—
M6725
MEDICARE ARKANSAS
—
01
—
P00195292
RAILROAD MEDICARE
—
Enumeration date
04/05/2006
Last updated
01/06/2022
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