Individual
DR. JEFFREY FIERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 MADISON AVE, SUITE 200, GRANITE CITY, IL 62040-4744
(618) 451-1800
(618) 451-1526
Mailing address
1 E WALINCA WALK, SAINT LOUIS, MO 63105-2006
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1226911
NY
207Y00000X
Otolaryngology Physician
R4761
MO
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013746
—
MO
Enumeration date
03/17/2006
Last updated
01/23/2008
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