Individual
DR. ANGELINE A STANISLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 BIDDLE ST, SAINT LOUIS, MO 63106-3454
(314) 814-8700
(314) 814-8542
Mailing address
621 S NEW BALLAS RD, SUITE 268 A, SAINT LOUIS, MO 63141-8232
(314) 872-7792
(314) 251-5690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2002010070
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002010070
LICENSE
MO
Enumeration date
10/26/2005
Last updated
05/07/2019
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