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Individual

DR. MARC MENDELSOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 S KINGSHIGHWAY BLVD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63110-1014
(314) 362-9123
(314) 747-3338
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 747-3338

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1.084417
CT
207P00000X
Emergency Medicine Physician
Primary
2019018127
MO
208D00000X
General Practice Physician
2019018127
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200069983
MO
Enumeration date
05/08/2013
Last updated
04/21/2026
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