Individual
DR. LOUISE CANTISANO MALBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110-1002
(314) 454-2341
(314) 454-4345
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-2341
(314) 454-4345
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018025691
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
2018025691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200057815
—
MO
Enumeration date
05/08/2015
Last updated
04/17/2025
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