Individual
DR. SUSAN MAY WILTRAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110-1002
(314) 454-6000
(314) 747-3338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6000
(314) 747-3338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021018523
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
2021018523
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200043697
—
MO
Enumeration date
06/30/2014
Last updated
04/17/2025
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