Individual
MR. ROBERT VAN GIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 VILLE MARIA LN, HAZELWOOD, MO 63042-1143
(314) 953-7650
(314) 953-7663
Mailing address
15955 NEW HALLS FERRY RD, FLORISSANT, MO 63031-1227
(314) 953-5000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2013016908
MO
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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