Individual
JOSHUA L HENTZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 S GRAND BLVD DEPT OF, SAINT LOUIS, MO 63104-1016
(314) 977-5110
(314) 977-7686
Mailing address
1008 S SPRING AVE # 3300, SAINT LOUIS, MO 63110-2520
(314) 977-8884
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2010029569
MO
207YS0012X
Sleep Medicine (Otolaryngology) Physician
2010029569
MO
207YS0123X
Facial Plastic Surgery Physician
2010029569
MO
207YX0901X
Otology & Neurotology Physician
2010029569
MO
Other
Enumeration date
05/31/2007
Last updated
02/17/2021
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