Individual
DR. TEDDY MWIMI MUISYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 286-2224
Mailing address
660 S EUCLID AVE, CAMPUS BOX 8116, SAINT LOUIS, MO 63110-1010
(314) 286-2224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125062844
IL
208000000X
Pediatrics Physician
2016023348
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
U2273
TX
Other
Enumeration date
06/29/2013
Last updated
12/19/2023
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