Organization
ST LOUIS WOMEN'S HEALTHCARE GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD C MUCKERMAN II MD (PRESIDENT)
(636) 449-4700
Entity
Organization
Contact information
Practice address
16216 BAXTER RD, SUITE 100, CHESTERFIELD, MO 63017-4770
(636) 449-4700
(636) 449-2596
Mailing address
16216 BAXTER RD, SUITE 100, CHESTERFIELD, MO 63017-4770
(636) 449-4700
(636) 449-2596
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507817401
—
MO
Enumeration date
03/12/2007
Last updated
08/12/2010
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