Individual
DR. TESSA LUCY EVELYN BAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141-8221
(314) 251-6062
(314) 251-4376
Mailing address
615 S NEW BALLAS RD STE 2009B, SAINT LOUIS, MO 63141-8221
(314) 251-6062
(314) 251-4376
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2022018013
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2022
Last updated
05/24/2022
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