Individual
DR. SEAN E GORETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4105
(314) 268-6411
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 268-4105
(314) 268-6411
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
036156296
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
2007022244
MO
Other
Enumeration date
05/31/2007
Last updated
03/17/2026
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