Individual
SEAN LEWIS EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2005019369
MO
207R00000X
Internal Medicine Physician
2005019369
MO
207W00000X
Ophthalmology Physician
Primary
2005019369
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679520605
—
MO
05
—
200839009
—
MO
Enumeration date
05/27/2006
Last updated
01/19/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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